NPIMap

Individual provider Active NPI

Steve A Kissel, MD

  • Family Medicine Physician
  • Greencastle, IN
National Provider Identifier
1316038789
Registry record updated Dec 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01035097 Issued in IN
Practice address
1148 Indianapolis Rd
Greencastle, IN 46135
Phone
(765) 653-4003
Fax
(765) 653-8930
NPI assigned
Sep 28, 2006
Last updated
Dec 18, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01035097 IN Primary

Addresses

Primary practice location

1148 Indianapolis Rd
Greencastle, IN 46135

Mailing address

PO Box 604
Greencastle, IN 46135
Phone (765) 653-4003

Other identifiers 1

IdentifierTypeStateIssuer
100211070AMedicaidIN

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
I20100525000484 IN Practitioner - Family Practice 9638208911 Reassigns benefits to 1 organization
Practice locations: Greencastle, IN

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Indiana University School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hendricks County HospitalGroup PAC ID 4880505528, 341 clinicians

Practice addresses (Care Compare)

1033 Indianapolis Rd
Greencastle, IN 46135-2407

8244 E US Hwy 36
Avon, IN 46123-9688

8244 E US Hwy 36 1320
Avon Internal Medicine
Avon, IN 46123-9688
Phone (317) 272-7519

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hendricks County Hospital Family Medicine CurrentSince Nov 15, 2022 Accepting new patients
Hendricks County Hospital Current Accepting new patients
Hendricks County Hospital CurrentSince Nov 15, 2022 Accepting new patients
Mark Hiskes DPM PC Past Accepting new patients
Hendricks County Hospital Past Accepting new patients
Hendricks County Hospital Family Medicine Past Accepting new patients
Hendricks County Hospital Family Medicine Past Accepting new patients
Hendricks County Hospital Family Medicine PastSince Nov 1, 2020 Accepting new patients

Locations

8244 E US Highway 36
Ste 1100
Avon, IN 46123
Phone (317) 272-7500

8244 E US Highway 36
Ste 1340
Avon, IN 46123
Phone (317) 520-5510

1033 Indianapolis Rd
Ste 110
Greencastle, IN 46135
Phone (765) 653-4003

1145 Indianapolis Rd
Greencastle, IN 46135
Phone (765) 653-2710

1100 Southfield Dr
Ste 1370
Plainfield, IN 46168
Phone (317) 837-5570

Interoperability endpoints

  • FHIR API: https://sehproxy.stelizabeth.com/arr-fhir/api/FHIR/R4
  • Direct secure messaging: skissel364968@direct-prd.stelizabeth.com

Organizations & group practices 8

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.

Hospital & facility affiliations 5

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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261094400000",
    "number": "1316038789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 604",
            "city": "GREENCASTLE",
            "state": "IN",
            "postal_code": "46135",
            "telephone_number": "765-653-4003",
            "fax_number": "765-653-8930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1148 INDIANAPOLIS RD",
            "city": "GREENCASTLE",
            "state": "IN",
            "postal_code": "46135",
            "telephone_number": "765-653-4003",
            "fax_number": "765-653-8930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISSEL",
        "first_name": "STEVE",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2009-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01035097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100211070A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greencastle, IN

Sources for this page

Verify at the official NPI Registry.