Individual provider Active NPI

David Scot Parks, MD

  • Family Medicine Physician
  • Greenwood, IN
National Provider Identifier
1356303614
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01039445A Issued in IN
Practice address
1703 W Stones Crossing Rd Ste 100
Greenwood, IN 46143-8558
Phone
(317) 528-2141
Fax
(317) 528-2231
NPI assigned
Apr 3, 2006
Last updated
Oct 16, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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 01039445A IN Primary

Addresses

Primary practice location

1703 W Stones Crossing Rd Ste 100
Greenwood, IN 46143-8558

Mailing address

PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800

Other practice location 1

14641 US Highway 31 N Ste E01
Carmel, IN 46032-1029
Phone (317) 564-7025

Other identifiers 2

IdentifierTypeStateIssuer
01039445BOtherINCSR
01039445AOtherININDIANA LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dparks172812@Direct.FranciscanAlliance.org Direct

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
I20061006000545 IN Practitioner - Family Practice 3870599277 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01039445AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Health Indianapolis & Mooresville Family Medicine CurrentSince Nov 1, 2010 Accepting new patients
Franciscan Health Indianapolis & Mooresville Family Medicine Current Accepting new patients
Franciscan Health Indianapolis & Mooresville CurrentSince Nov 1, 2010 Accepting new patients
Major Hospital Past Accepting new patients

Locations

14641 US Highway 31 N
Ste E1
Carmel, IN 46032
Phone (317) 564-7025

1300 W Jefferson St
Ste C
Franklin, IN 46131
Phone (317) 736-8474

1001 N Madison Ave
Greenwood, IN 46142
Phone (317) 528-7500

5210 E Thompson Rd
Indianapolis, IN 46237
Phone (317) 782-7500

5230 E Stop 11 Rd
Ste 250A
Indianapolis, IN 46237
Phone (317) 528-8921

860 E 86th St
Indianapolis, IN 46240
Phone (812) 333-2731

Interoperability endpoints

  • Direct secure messaging: dparks172812@direct.franciscanalliance.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1356303614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781076",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482781076",
            "telephone_number": "317-528-4800",
            "fax_number": "317-865-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 W STONES CROSSING RD STE 100",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461438558",
            "telephone_number": "317-528-2141",
            "fax_number": "317-528-2231"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14641 US Highway 31 N Ste E01",
            "address_purpose": "LOCATION",
            "city": "Carmel",
            "state": "IN",
            "postal_code": "460321029",
            "country_code": "US",
            "telephone_number": "317-564-7025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKS",
        "first_name": "DAVID",
        "middle_name": "SCOT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01039445A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSR",
            "identifier": "01039445B",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIANA LICENSE",
            "identifier": "01039445A",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dparks172812@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1703 W Stones Crossing Rd Ste 100",
            "city": "Greenwood",
            "state": "IN",
            "country_code": "US",
            "postal_code": "46143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenwood, IN

Sources for this page

Verify at the official NPI Registry.