NPIMap

Individual provider Active NPI

Karen Clark Wendowski, MD

  • Internal Medicine Physician
  • Indianapolis, IN
National Provider Identifier
1306829270
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01052968A Issued in IN
Practice address
8433 Harcourt Rd Ste 200
Indianapolis, IN 46260-2195
Phone
(317) 338-7800
NPI assigned
Nov 23, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01052968A IN Primary

Addresses

Primary practice location

8433 Harcourt Rd Ste 200
Indianapolis, IN 46260-2195

Mailing address

8433 Harcourt Rd Ste 200
Indianapolis, IN 46260-2195

Other identifiers 1

IdentifierTypeStateIssuer
200293070MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address karen.wendowski.1@7598.direct.athenahealth.com St. Vincent Medical Group, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041109000434 IN Practitioner - Internal Medicine 2062475254 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Indiana University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Vincent Medical Group IncGroup PAC ID 7012047640, 728 clinicians

Practice addresses (Care Compare)

8433 Harcourt Rd
Suite 200
Indianapolis, IN 46260-2195
Phone (317) 338-7800

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01052968AINMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincent Medical Group, Inc. CurrentSince Jul 1, 2012 Accepting new patients
St. Vincent Medical Group, Inc. Internal Medicine Current Accepting new patients
St Mary'S Medical Group, LLC PastSince Jul 1, 2022 Accepting new patients
St Vincent Medical Group Inc Past Accepting new patients
St Vincent Physician Services Hospital and Health Care Center Internal Medicine Past Accepting new patients
St Vincent Physician Services Hospital and Health Care Center Past Accepting new patients
Southside Emergency Associates Past Accepting new patients

Locations

10330 N Meridian St
Ste 201
Carmel, IN 46290
Phone (317) 338-6234

250 W 96th St
#520
Indianapolis, IN 46260
Phone (317) 583-3331

8433 Harcourt Rd
Ste 200
Indianapolis, IN 46260
Phone (317) 338-4692

8433 Harcourt Rd
Ste 100
Indianapolis, IN 46260
Phone (317) 583-7702

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Ascension Medical Group St. VincentWinchester, IN, CCN 153881 Rural health clinic Corporate Officer Jul 1, 2020
Ascension Medical Group St. VincentNorth Vernon, IN, CCN 153887 Rural health clinic Corporate Director Jul 1, 2018
Ascension Medical Group St. VincentUnion City, IN, CCN 153879 Rural health clinic Corporate Officer Jul 1, 2020

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1306829270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8433 HARCOURT RD STE 200",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8433 HARCOURT RD STE 200",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602195",
            "telephone_number": "317-338-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENDOWSKI",
        "first_name": "KAREN",
        "middle_name": "CLARK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-23",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01052968A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200293070",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "karen.wendowski.1@7598.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "St. Vincent Medical Group, Inc.",
            "address_1": "8433 Harcourt Rd Ste 200",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462602195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.