Active NPI
Casimir R Starsiak, DO
- Orthopaedic Surgery Physician
- Indianapolis, IN
National Provider Identifier
1366446783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 02000726A
- Practice address
- 3660 Guion Rd
Ste 310
Indianapolis, IN 46222-1697 - Phone
- (317) 644-5005
- NPI assigned
- Jun 13, 2005
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 02000726A | IN | Primary |
Addresses
Primary practice location
3660 Guion Rd
Ste 310
Indianapolis, IN 46222-1697
Mailing address
5555 Spicebush Dr Ste 500
Indianapolis, IN 46254-9632
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000639283 | Other | IN | ANTHEM |
| 100356220 | Medicaid | IN | |
| P01424273 | Other | IN | RAIL ROAD PTAN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cstarsiak130554@eCommunityDirect.com | Community Physicians of Indiana Inc |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02000726A | IN | MD | Orthopaedic Surgery Physician |
Interoperability endpoints
- cstarsiak130554@ecommunitydirect.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681257600000",
"number": "1366446783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5555 SPICEBUSH DR STE 500",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462549632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3660 GUION RD",
"address_2": "STE 310",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462221697",
"telephone_number": "317-644-5005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STARSIAK",
"first_name": "CASIMIR",
"middle_name": "R",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-13",
"last_updated": "2023-04-12",
"certification_date": "2023-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "IN",
"license": "02000726A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000639283",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100356220",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD PTAN",
"identifier": "P01424273",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cstarsiak130554@eCommunityDirect.com",
"affiliation": "Y",
"affiliationName": "Community Physicians of Indiana Inc",
"address_1": "3660 Guion Rd",
"address_2": "STE 310",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462221697",
"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 Apr 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.