Active NPI
Thomas L Yerks, MD
- Family Medicine Physician
- Indianapolis, IN
National Provider Identifier
1326061359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01024975A
- Practice address
- 8101 Clearvista Parkway
Suite 110
Indianapolis, IN 46256-4675 - Phone
- (317) 621-2566
- Fax
- (317) 621-2561
- NPI assigned
- Jul 25, 2006
- Last updated
- Jul 21, 2009
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01024975A | IN | Primary |
Addresses
Primary practice location
8101 Clearvista Parkway
Suite 110
Indianapolis, IN 46256-4675
Mailing address
8101 Clearvista Parkway
Suite 110
Indianapolis, IN 46256-4675
Phone (317) 621-2566
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00112328 | Other | IN | RR MEDICARE |
| 000000316816 | Other | IN | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01024975A | IN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Major Hospital | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248134400000",
"number": "1326061359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8101 CLEARVISTA PARKWAY",
"address_2": "SUITE 110",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462564675",
"telephone_number": "317-621-2566",
"fax_number": "317-621-2561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8101 CLEARVISTA PARKWAY",
"address_2": "SUITE 110",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462564675",
"telephone_number": "317-621-2566",
"fax_number": "317-621-2561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YERKS",
"first_name": "THOMAS",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2009-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01024975A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00112328",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000316816",
"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 Jul 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.