Active NPI
Richard Alan Stanley, D.P.M.
- Podiatrist
- Indianapolis, IN
National Provider Identifier
1366430944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 07000596A
- Practice address
- 5905 S Emerson Ave
Suite 300
Indianapolis, IN 46237-2402 - Phone
- (317) 784-7039
- Fax
- (317) 784-7046
- NPI assigned
- Oct 7, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 07000596A | IN | Primary |
Addresses
Primary practice location
5905 S Emerson Ave
Suite 300
Indianapolis, IN 46237-2402
Mailing address
5905 S Emerson Ave
Suite 300
Indianapolis, IN 46237-2406
Phone (317) 784-7039
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100227280 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Major Hospital | Past | Accepting new patients | |
| Arch Advantage Foot and Ankle Center | Past | Accepting new patients |
Interoperability endpoints
- rstanley10745@direct.franciscanalliance.org
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 2
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.
-
- Foot & Ankle Surgery Podiatrist
- Indianapolis, IN
- NPI 1427899822
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213833600000",
"number": "1366430944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5905 S EMERSON AVE",
"address_2": "SUITE 300",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462372406",
"telephone_number": "317-784-7039",
"fax_number": "317-784-7046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5905 S EMERSON AVE",
"address_2": "SUITE 300",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462372402",
"telephone_number": "317-784-7039",
"fax_number": "317-784-7046"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANLEY",
"first_name": "RICHARD",
"middle_name": "ALAN",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-07",
"last_updated": "2008-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "IN",
"license": "07000596A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100227280",
"state": "IN"
}
],
"endpoints": [],
"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 Jun 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.