Individual provider Active NPI

Michael Christopher Patellos, MD

  • Occupational Medicine Physician
  • Noblesville, IN
National Provider Identifier
1336215524
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
01043142 Issued in IN
Practice address
9669 E 146TH St
Noblesville, IN 46060
Phone
(317) 621-3434
NPI assigned
Nov 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Physician 2083X0100X 01043142 IN Primary

Addresses

Primary practice location

9669 E 146TH St
Noblesville, IN 46060

Mailing address

6626 E 75TH St Ste 500
Indianapolis, IN 46250-2890

Other practice location 1

4850 West Century Plaza Road
Suite 140
Indianapolis, IN 46254
Phone (317) 216-2841

Other practice location 2

4850 West Century Plaza Road
Suite 140
Indianapolis, IN 46254
Phone (317) 216-2841

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mpatellos331222@eCommunityDirect.com Community Hospitals of Indiana, INC

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

LicenseStateTypeSpecialty
01043142INMDOccupational Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Workplace Health Services Past Accepting new patients
M-Urgent Care LLC Past Accepting new patients
Major Hospital Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mpatellos614194@direct.franciscanalliance.org
  • Direct secure messaging: mpatellos331222@ecommunitydirect.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1336215524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6626 E 75TH ST STE 500",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9669 E 146TH ST",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "46060",
            "telephone_number": "317-621-3434"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4850 West Century Plaza Road",
            "address_2": "Suite 140",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "46254",
            "country_code": "US",
            "telephone_number": "317-216-2841",
            "fax_number": "317-216-2839",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4850 West Century Plaza Road",
            "address_2": "Suite 140",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "46254",
            "country_code": "US",
            "telephone_number": "317-216-2841",
            "fax_number": "317-216-2839",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATELLOS",
        "first_name": "MICHAEL",
        "middle_name": "CHRISTOPHER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2023-11-27",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "IN",
            "license": "01043142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mpatellos331222@eCommunityDirect.com",
            "affiliation": "Y",
            "affiliationName": "Community Hospitals of Indiana, INC",
            "address_1": "4850 West Century Plaza Road",
            "address_2": "Suite 140",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "46254",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Noblesville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.