Individual provider Active NPI

P Jill McFadden Lewis, D.O.

  • Family Medicine Physician
  • Indianapolis, IN
National Provider Identifier
1346266277
Registry record updated May 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
02000865A Issued in IN
Practice address
5632 Liberty Creek Dr W
Indianapolis, IN 46254-1036
Phone
(317) 299-8942
Fax
(317) 299-8942
NPI assigned
Jul 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 02000865A IN Primary

Addresses

Primary practice location

5632 Liberty Creek Dr W
Indianapolis, IN 46254-1036

Mailing address

5632 Liberty Creek Dr W
Indianapolis, IN 46254-1036
Phone (317) 299-8942

Other identifiers 1

IdentifierTypeStateIssuer
200112150MedicaidIN

Other names 1

  • Dr. Patricia Jill McFadden Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
02000865AINMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464048000000",
    "number": "1346266277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5632 LIBERTY CREEK DR W",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462541036",
            "telephone_number": "317-299-8942",
            "fax_number": "317-299-8942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5632 LIBERTY CREEK DR W",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462541036",
            "telephone_number": "317-299-8942",
            "fax_number": "317-299-8942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCFADDEN LEWIS",
        "first_name": "P",
        "middle_name": "JILL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2016-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "02000865A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200112150",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "MCFADDEN",
            "middle_name": "JILL",
            "prefix": "DR.",
            "credential": "D.O.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.