Individual provider Active NPI

Lee Michael Sredzinski, MD

  • Internal Medicine Physician
  • Noblesville, IN
National Provider Identifier
1356424626
Registry record updated Sep 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01029559 Issued in IN
Practice address
18051 River Rd Ste 200
Noblesville, IN 46062-7092
Phone
(317) 773-0002
Fax
(317) 776-6095
NPI assigned
Oct 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01029559 IN Primary

Addresses

Primary practice location

18051 River Rd Ste 200
Noblesville, IN 46062-7092

Mailing address

PO Box 775985
Chicago, IL 60677-5985
Phone (317) 770-6900

Other identifiers 1

IdentifierTypeStateIssuer
100337830MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lsredzinski791514@DirectC.mercy.net 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
I20100125000699 IN Practitioner - Internal Medicine 4486691763 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Indiana University School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverview HospitalGroup PAC ID 1153216627, 209 clinicians
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

18051 River Rd
Suite 200
Noblesville, IN 46062-7092
Phone (317) 773-0002

2600 Compass Rd
Glenview, IL 60026-8001

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01029559INMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Riverview Hospital CurrentSince Aug 1, 2011 Accepting new patients
Riverview Hospital Internal Medicine CurrentSince Aug 1, 2011 Accepting new patients
Riverview Hospital CurrentSince Dec 5, 2021 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

18051 River Rd
Ste 200
Noblesville, IN 46062
Phone (317) 329-7430

865 Westfield Rd
Noblesville, IN 46062
Phone (317) 770-1700

395 Westfield Rd
Noblesville, IN 46060
Phone (317) 218-3136

Interoperability endpoints

  • Direct secure messaging: lsredzinski791514@directc.mercy.net

Organizations & group practices 5

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1356424626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 775985",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606775985",
            "telephone_number": "317-770-6900",
            "fax_number": "317-770-6911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18051 RIVER RD STE 200",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460627092",
            "telephone_number": "317-773-0002",
            "fax_number": "317-776-6095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SREDZINSKI",
        "first_name": "LEE",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01029559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100337830",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lsredzinski791514@DirectC.mercy.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "18051 River Rd Ste 200",
            "city": "Noblesville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460627092",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Noblesville, IN

Sources for this page

Verify at the official NPI Registry.