Organization Active NPI

Midwest Ear Institute, P.C.

  • Otology & Neurotology Physician
  • Indianapolis, IN
National Provider Identifier
1306935556
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otology & Neurotology PhysicianTaxonomy code 207YX0901X
License
N/A Issued in IN
Legal business name
MIDWEST EAR INSTITUTE, P.C.
Practice address
7440 N Shadeland Ave Ste 150
Indianapolis, IN 46250-2095
Phone
(317) 842-4901
Fax
(317) 842-4393
NPI assigned
Oct 12, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jan D Babcock
Title
Practice Administrator
Phone
(317) 570-7353

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otology & Neurotology Physician 207YX0901X N/A IN Primary

Addresses

Primary practice location

7440 N Shadeland Ave Ste 150
Indianapolis, IN 46250-2095

Mailing address

7440 N Shadeland Ave Ste 150
Indianapolis, IN 46250-2095
Phone (317) 842-4901

Other identifiers 2

IdentifierTypeStateIssuer
1327815OtherUNITED HEALTHCARE
000000104449OtherANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100720001048 IN Part B Supplier - Clinic/Group Practice 5698846293 Receives reassigned benefits from 6 practitioners
Practice locations: Mooresville, IN; Indianapolis, IN

National Provider Directory

National Provider Directory

Locations

2020 W 86th St
Ste 307
Indianapolis, IN 46260
Phone (317) 842-4901

7440 N Shadeland Ave
Ste 150
Indianapolis, IN 46250
Phone (317) 842-4901

1001 Hadley Rd
#160
Mooresville, IN 46158
Phone (317) 831-9319

904 N Samuel Moore Pkwy
Mooresville, IN 46158
Phone (800) 818-3277

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71563

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306935556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7440 N SHADELAND AVE STE 150",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502095",
            "telephone_number": "317-842-4901",
            "fax_number": "317-842-4393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7440 N SHADELAND AVE STE 150",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502095",
            "telephone_number": "317-842-4901",
            "fax_number": "317-842-4393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST EAR INSTITUTE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BABCOCK",
        "authorized_official_first_name": "JAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "317-570-7353"
    },
    "taxonomies": [
        {
            "code": "207YX0901X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otology & Neurotology",
            "state": "IN",
            "license": "N/A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1327815",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000104449",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.