Robert D. Funk, MD

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

01076039A Issued in IN

Practice address

13225 N Meridian St
Carmel, IN 46032-5480

Phone

(317) 228-7000

Fax

(317) 228-2321

NPI assigned

May 13, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Pain ManagementAlso: Anesthesiology

Education

Indiana University School of Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Indiana Spine Group, PCGroup PAC ID 4082502349, 49 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension St Vincent Kokomo Hospital, Kokomo, IN, CCN 150010

Merit-based Incentive Payment System (MIPS)

Final score

24.79 of 100Reported as individual

Quality

0

Promoting interoperability

0

Improvement activities

0

Cost

82.63

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Indiana Spine Group, PC

  • Orthopaedic Surgery of the Spine Physician
  • Carmel, IN
  • NPI 1609960046

  Pain Medicine

  Medicare reassignment Care Compare group NPD
• Indiana Spine Group, PC

  • Pain Medicine (Anesthesiology) Physician
  • Greenwood, IN
  • NPI 1508220633
  NPD
• Indiana Spine Group, PC

  • Orthopaedic Surgery of the Spine Physician
  • Kokomo, IN
  • NPI 1861679094
  NPD
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)

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

• St. Joseph Hospital & Health Center, Inc.

  dba Ascension St. Vincent Kokomo

  • General Acute Care Hospital
  • Kokomo, IN
  • NPI 1780625442
  Care Compare affiliation

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

{
    "created_epoch": "1273708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464307200000",
    "number": "1316265457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13225 N MERIDIAN ST",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460325480",
            "telephone_number": "317-228-7000",
            "fax_number": "317-228-2321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13225 N MERIDIAN ST",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460325480",
            "telephone_number": "317-228-7000",
            "fax_number": "317-228-2321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNK",
        "first_name": "ROBERT",
        "middle_name": "D.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-13",
        "last_updated": "2016-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "IN",
            "license": "01076039A",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MI",
            "license": "4301096058",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000995534",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5551787",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fully Armored Family Health and Fitness LLC
• Jessica Jane Funcheon, LMT
• Function First Inc
• Function Rehabilitation Inc
• Functional Medicine of Carmel Inc. (BodylogicMD of Carmel)
• Ryan R Gady, O.D.
• Antonio Gaeta Jr.
• Stephanie Elizabeth Gagnon, M.A.
• Wendy Jo Gahimer, M.A. CCC-SLP
• Elizabeth Gale

• Pain Medicine (Anesthesiology) Physician in Carmel, IN
• Providers in Carmel, IN by specialty
• Pain Medicine (Anesthesiology) Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2016; 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.

Verify at the official NPI Registry.