Individual provider Active NPI

Thomas Patrick Schermoly, DO

  • Colon & Rectal Surgery Physician
  • Mooresville, IN
National Provider Identifier
1356979892
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
02008210A Issued in IN
Practice address
1215 Hadley Rd Ste 201
Mooresville, IN 46158-2907
Phone
(317) 834-9618
NPI assigned
Mar 30, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Colon & Rectal Surgery Physician 208C00000X 02008210A IN Primary

Addresses

Primary practice location

1215 Hadley Rd Ste 201
Mooresville, IN 46158-2907

Mailing address

1215 Hadley Rd Ste 201
Mooresville, IN 46158-2907
Phone (317) 834-9618

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20200723000036 KS Order and Referring Only - General SurgeryPractitioner - General SurgeryPractitioner - Colorectal Surgery (Proctology) 8729402771

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)
Education
Rocky Vista University College of Osteopathic Med, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

901 E 104TH St
Kansas City, MO 64131-4517

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: tschermoly876976@ahs.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1356979892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 HADLEY RD STE 201",
            "city": "MOORESVILLE",
            "state": "IN",
            "postal_code": "461582907",
            "telephone_number": "317-834-9618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 HADLEY RD STE 201",
            "city": "MOORESVILLE",
            "state": "IN",
            "postal_code": "461582907",
            "telephone_number": "317-834-9618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHERMOLY",
        "first_name": "THOMAS",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-30",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "IN",
            "license": "02008210A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, IN

Sources for this page

Verify at the official NPI Registry.