Individual provider Active NPI

Dorothy Lee Summerlin- Grady, CRNA

  • Certified Registered Nurse Anesthetist
  • Indianapolis, IN
National Provider Identifier
1336192376
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
28151003C Issued in IN
Practice address
8051 S Emerson Ave Ste 150
Indianapolis, IN 46237-8635
Phone
(317) 865-2955
Fax
(317) 865-2954
NPI assigned
May 19, 2006
Last updated
Feb 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 28151003C IN Primary
Certified Registered Nurse Anesthetist 367500000X 3420422 FL
Certified Registered Nurse Anesthetist 367500000X 303499 OH

Addresses

Primary practice location

8051 S Emerson Ave Ste 150
Indianapolis, IN 46237-8635

Mailing address

5955 Claybourne Dr
Bargersville, IN 46106-8391
Phone (317) 966-5576

Other practice location 1

250 E Day Rd Ste 300
Mishawaka, IN 46545-3471
Phone (574) 968-0283

Other identifiers 2

IdentifierTypeStateIssuer
2436813MedicaidOH
200425840MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040917000249 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 5890609770 Reassigns benefits to 1 organization
I20150526002369 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 5890609770 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
3420422FLMDCertified Registered Nurse Anesthetist
28151003CINMDCertified Registered Nurse Anesthetist
303499OHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesiologists of Greater Orlando Inc Nurse Anesthetist, Certified Registered Current Accepting new patients
Midwest Gastroenterology LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 15, 2023 Accepting new patients
Azura Anesthesia Partners LLC CurrentSince Feb 23, 2026 Accepting new patients
Nature Coast Anesthesia Providers, P.a. Nurse Anesthetist, Certified Registered CurrentSince May 23, 2025 Accepting new patients
Anesthesiologists of Greater Orlando Inc Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2025 Accepting new patients
Anesthesiologists of Greater Orlando Inc Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2025 Accepting new patients
Northern Indiana Anesthesia Services, P.C. Nurse Anesthetist, Certified Registered Past Accepting new patients
Perioperative Medical Consutants Inc Past Accepting new patients
Crna of Blanchard Valley LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Reliable Anesthezia and Pain Management Services PSC Past Accepting new patients
Lakeshore Anesthesia, P.C. Nurse Anesthetist, Certified Registered PastSince Mar 3, 2024 Accepting new patients
Southern Indiana Anesthesiology Nurse Anesthetist, Certified Registered Past Accepting new patients
Dayton Osteopathic Hospital Past Accepting new patients
Millenium Anesthesia LLC Past Accepting new patients
Anesthesiology Services Network LTD Past Accepting new patients
Allied Anesthesia Professionals LLC PastSince Jan 15, 2011 Accepting new patients
Universtiy Anesthesia Assoc., Inc. Past Accepting new patients

Locations

555 W State Road 434
Longwood, FL 32750
Phone (407) 767-1200

52 Underwood St
Orlando, FL 32806
Phone (321) 841-3581

83 W Miller St
Orlando, FL 32806
Phone (321) 841-5281

1879 Nightingale Ln
Ste A2
Tavares, FL 32778
Phone (352) 742-0079

8051 S Emerson Ave
Ste 150
Indianapolis, IN 46237
Phone (317) 857-4024

250 E Day Rd
Ste 300
Mishawaka, IN 46545
Phone (574) 273-6787

Organizations & group practices 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770249600000",
    "number": "1336192376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5955 CLAYBOURNE DR",
            "city": "BARGERSVILLE",
            "state": "IN",
            "postal_code": "461068391",
            "telephone_number": "317-966-5576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8051 S EMERSON AVE STE 150",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462378635",
            "telephone_number": "317-865-2955",
            "fax_number": "317-865-2954"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 E Day Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Mishawaka",
            "state": "IN",
            "postal_code": "465453471",
            "country_code": "US",
            "telephone_number": "574-968-0283",
            "fax_number": "574-855-5699",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUMMERLIN- GRADY",
        "first_name": "DOROTHY",
        "middle_name": "LEE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IN",
            "license": "28151003C",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "3420422",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "303499",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2436813",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200425840",
            "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 Feb 5, 2026; 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.