Active NPI
Dustin Bradshaw Hammers, PHD
- Clinical Neuropsychologist
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 20043478A
- Practice address
- 355 W 16TH St Ste 2500
Indianapolis, IN 46202-2280 - Phone
- (317) 963-7204
- Fax
- (317) 963-7211
- NPI assigned
- Oct 22, 2008
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 502 | WY | |
| Clinical Neuropsychologist | 103G00000X | |||
| Clinical Neuropsychologist | 103G00000X | 6301014253 | MI | |
| Clinical Neuropsychologist | 103G00000X | 799688-2501 | UT | |
| Clinical Neuropsychologist | 103G00000X | 20043478A | IN | Primary |
Addresses
Primary practice location
355 W 16TH St Ste 2500
Indianapolis, IN 46202-2280
Mailing address
250 N Shadeland Ave
Indianapolis, IN 46219-4959
Other practice location 1
650 Komas Dr Ste 106A
Salt Lake City, UT 84108-1225
Phone (801) 585-3929
Other practice location 2
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000001540973 | Other | IN | ANTHEM PTAN |
| 300050189 | Medicaid | IN |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | hammersd@direct.iuhealth.org | ||
| Direct Messaging Address | hammersd@direct.iuhealth.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301014253 | MI | MD | Clinical Neuropsychologist |
| 799688-2501 | UT | MD | Clinical Neuropsychologist |
| 502 | WY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indiana Clinic-Neurology, LLC | Current | Accepting new patients | |
| University of Utah Adult Services | Current | Accepting new patients | |
| University of Utah Adult Services | Current | Accepting new patients | |
| Iu Health Medical Group, LLC | Current | Accepting new patients | |
| University of Utah Adult Services | Current | Accepting new patients | |
| Department of Neurology School of Medicine University of Utah | Clinical Neuropsychologist | Past | Accepting new patients |
Locations
3879 Reliable Pkwy
Chicago, IL 60686
350 S Landmark Ave
Bloomington, IN 47403
Phone (812) 332-9874
355 W 16th St
Ste 2500
Indianapolis, IN 46202
Phone (317) 963-7204
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292
Interoperability endpoints
- hammersd@direct.iuhealth.org
- dhammers@direct.iuhealth.org
Organizations & group practices 6
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.
-
- General Practice Physician
- Indianapolis, IN
- NPI 1326893777
-
- Neurology Physician
- Indianapolis, IN
- NPI 1578792271
-
- General Practice Physician
- Salt Lake City, UT
- NPI 1114321981
-
- Diagnostic Radiology Physician
- Salt Lake City, UT
- NPI 1598169419
-
- Pain Medicine (Anesthesiology) Physician
- Salt Lake City, UT
- NPI 1730583733
-
- Neurology Physician
- Salt Lake City, UT
- NPI 1326092511
Clinical Neuropsychologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741392000000",
"number": "1356593297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 N SHADELAND AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462194959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 W 16TH ST STE 2500",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462022280",
"telephone_number": "317-963-7204",
"fax_number": "317-963-7211"
}
],
"practiceLocations": [
{
"address_1": "650 Komas Dr Ste 106A",
"address_purpose": "LOCATION",
"city": "Salt Lake City",
"state": "UT",
"postal_code": "841081225",
"country_code": "US",
"telephone_number": "801-585-3929",
"fax_number": "801-581-2483",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1701 N Senate Blvd",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462021239",
"country_code": "US",
"telephone_number": "888-484-3258",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAMMERS",
"first_name": "DUSTIN",
"middle_name": "BRADSHAW",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-10-22",
"last_updated": "2025-03-08",
"certification_date": "2025-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "WY",
"license": "502",
"primary": false
},
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "MI",
"license": "6301014253",
"primary": false
},
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "UT",
"license": "799688-2501",
"primary": false
},
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "IN",
"license": "20043478A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PTAN",
"identifier": "000001540973",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300050189",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "hammersd@direct.iuhealth.org",
"affiliation": "N",
"address_1": "355 W 16th St Ste 2500",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462022280",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "hammersd@direct.iuhealth.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1701 N Senate Blvd",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462021239",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2025; 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.