Active NPI
Matthew W Crittendon, MD
- Emergency Medicine Physician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 01058985A
- Practice address
- 550 University Blvd
Indianapolis, IN 46202-5149 - Phone
- (317) 274-4705
- Fax
- (317) 278-0943
- NPI assigned
- Aug 24, 2006
- Last updated
- Jan 29, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 01058985A | IN | Primary |
Addresses
Primary practice location
550 University Blvd
Indianapolis, IN 46202-5149
Mailing address
250 N Shadeland Ave
Ste 130 Provider Enrollment
Indianapolis, IN 46219-4959
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200501010 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Indiana University School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
395 Westfield Rd
Wound Care
Noblesville, IN 46060-1425
Phone (317) 773-0760
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.78 of 100
- Quality
- 80.38
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01058985A | IN | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverview Hospital | Emergency Medicine | Current | Accepting new patients |
| Riverview Hospital | Current | Accepting new patients | |
| Lafayette Emergency Physicians, Inc | Emergency Medicine | Current | Accepting new patients |
| Indiana University Health Care Associates, Inc | Current | Accepting new patients | |
| Major Hospital | Past | Accepting new patients | |
| Icem-University-Riley, LLC | Emergency Medicine | Past | Accepting new patients |
| Chenango Memorial Hospital, Inc. | Emergency Medicine | Past | Accepting new patients |
| Emgi - University, LLC | Past | Accepting new patients | |
| Emergency Medicine Physicians of Cortland County, PLLC | Emergency Medicine | Past | Accepting new patients |
| Emgi - Riley, LLC | Emergency Medicine | Past | Accepting new patients |
| University Medical Diagnostic Associates, Inc. | Past | Accepting new patients |
Locations
5208 Reliable Pkwy
Chicago, IL 60686
1125 W Jefferson St
Franklin, IN 46131
Phone (317) 346-3858
1701 N Senate Blvd
Bldg C6
Indianapolis, IN 46202
Phone (913) 962-2000
250 N Shadeland Ave
Ste 130
Indianapolis, IN 46219
Phone (317) 962-4836
550 University Blvd
Indianapolis, IN 46202
Phone (217) 274-5000
702 Barnhill Dr
Indianapolis, IN 46202
Phone (317) 274-0273
705 Riley Hospital Dr
Indianapolis, IN 46202
Phone (317) 274-4779
3500 S Lafountain St
Kokomo, IN 46902
Phone (765) 453-0702
1701 S Creasy Ln
Lafayette, IN 47905
Phone (765) 502-4400
2605 N Lebanon St
Lebanon, IN 46052
Phone (765) 485-8000
395 Westfield Rd
Noblesville, IN 46060
Phone (317) 218-3136
865 Westfield Rd
Noblesville, IN 46062
Phone (317) 770-1700
2451 Intelliplex Dr
Shelbyville, IN 46176
Phone (317) 392-3211
6085 Heartland Dr
Zionsville, IN 46077
Phone (317) 768-2100
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba IU Health Physicians
- General Practice Physician
- Indianapolis, IN
- NPI 1902032832
-
dba Boone County Emergency Medicine
- Emergency Medicine Physician
- Lebanon, IN
- NPI 1891741641
-
dba University Heights Health & Living Community
- Skilled Nursing Facility
- Indianapolis, IN
- NPI 1831164995
-
- Emergency Medicine Physician
- Indianapolis, IN
- NPI 1720020381
-
- Emergency Medical Services (Emergency Medicine) Physician
- Indianapolis, IN
- NPI 1508808783
-
- Emergency Medicine Physician
- Indianapolis, IN
- NPI 1417284563
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
-
- Internal Medicine Physician
- Indianapolis, IN
- NPI 1861441537
-
- Family Medicine Physician
- Norwich, NY
- NPI 1467526889
Emergency Medicine
-
- Emergency Medicine Physician
- Cortland, NY
- NPI 1609816024
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Noblesville, IN
- NPI 1700883717
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390953600000",
"number": "1306953369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 N SHADELAND AVE",
"address_2": "STE 130 PROVIDER ENROLLMENT",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462194959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 UNIVERSITY BLVD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462025149",
"telephone_number": "317-274-4705",
"fax_number": "317-278-0943"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRITTENDON",
"first_name": "MATTHEW",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-24",
"last_updated": "2014-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IN",
"license": "01058985A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200501010",
"state": "IN"
}
],
"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 Jan 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.