Active NPI
Lee Michael Sredzinski, MD
- Internal Medicine Physician
- Noblesville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 01029559
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100337830 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
- Suburban Home Health LLC
- Riverview Health
- Ascension St Vincent Carmel
- Ascension St Vincent Fishers
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.78 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 01029559 | IN | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverview Hospital | Current | Accepting new patients | |
| Riverview Hospital | Internal Medicine | Current | Accepting new patients |
| Riverview Hospital | Current | 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
- 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.
-
- Rehabilitation Clinic/Center
- Glenview, IL
- NPI 1346368248
-
- Community Health Clinic/Center
- Noblesville, IN
- NPI 1790443018
-
- Skilled Nursing Facility
- Indianapolis, IN
- NPI 1831164995
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Noblesville, IN
- NPI 1700883717
-
- General Acute Care Hospital
- Fishers, IN
- NPI 1881956167
-
- General Acute Care Hospital
- Carmel, IN
- NPI 1639124134
-
- Home Health Agency
- Noblesville, IN
- NPI 1598872939
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.