Individual provider Active NPI

Dawn Zimmer, MD

  • Maternal & Fetal Medicine Physician
  • Indianapolis, IN
National Provider Identifier
1336258698
Registry record updated May 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
01037652 Issued in IN
Practice address
8081 Township Line Rd Ste 203
Indianapolis, IN 46260-2189
Phone
(317) 415-7921
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X 01037652 IN Primary

Addresses

Primary practice location

8081 Township Line Rd Ste 203
Indianapolis, IN 46260-2189

Mailing address

8081 Township Line Rd Ste 203
Indianapolis, IN 46260-2189

Other identifiers 1

IdentifierTypeStateIssuer
100175940MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dawn.zimmer.1@7598.direct.athenahealth.com St Vincent Pediatric Subspecialties

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20090112000711 IN Practitioner - Obstetrics/GynecologyPractitioner - Pediatric Medicine 8022171461 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Kansas School of Med (KC/Wich/Sal), 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2001 W 86TH St
Indianapolis, IN 46260-1902
Phone (317) 338-3617

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01037652INMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincent Pediatric Subspecialties Maternal & Fetal Medicine CurrentSince Jul 1, 2008 Accepting new patients
St Vincent Pediatric Subspecialties CurrentSince Jul 1, 2008 Accepting new patients
Major Hospital Past Accepting new patients

Locations

13420 N Meridian St
Ste 200
Carmel, IN 46032
Phone (317) 415-7626

8091 Township Line Rd
Ste 108
Indianapolis, IN 46260
Phone (317) 415-7741

2001 W 86th St
Indianapolis, IN 46260
Phone (317) 338-3617

8091 Township Line Rd
Ste 203
Indianapolis, IN 46260
Phone (317) 415-8100

8081 Township Line Rd
Ste 203
Indianapolis, IN 46260
Phone (317) 415-7921

250 W 96th St
#520
Indianapolis, IN 46260
Phone (317) 583-3331

2705 N Lebanon St
Ste 405
Lebanon, IN 46052
Phone (765) 485-8444

615 N Michigan St
South Bend, IN 46601
Phone (574) 647-1000

Interoperability endpoints

  • Direct secure messaging: dawn.zimmer.2@7598.direct.athenahealth.com
  • Direct secure messaging: dawn.zimmer@ogi.gwaydirect.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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1336258698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8081 TOWNSHIP LINE RD STE 203",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8081 TOWNSHIP LINE RD STE 203",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602189",
            "telephone_number": "317-415-7921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMER",
        "first_name": "DAWN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "IN",
            "license": "01037652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100175940",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dawn.zimmer.1@7598.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "St Vincent Pediatric Subspecialties",
            "address_1": "8081 Township Line Rd Ste 203",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462602189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.