Individual provider Active NPI

Thomas E McSoley, M.D.

  • Otolaryngology Physician
  • Carmel, IN
National Provider Identifier
1376600783
Registry record updated Dec 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
01028981A Issued in IN
Practice address
11725 N Illinois St
Suite 445
Carmel, IN 46032-3010
Phone
(317) 573-4370
Fax
(317) 819-0044
NPI assigned
Jan 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 01028981A IN Primary

Addresses

Primary practice location

11725 N Illinois St
Suite 445
Carmel, IN 46032-3010

Mailing address

9002 N Meridian St
Suite 222
Indianapolis, IN 46260-5350
Phone (317) 573-4370

Other identifiers 2

IdentifierTypeStateIssuer
040000759OtherINMEDICARE RAILROAD
100237750MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100407000706 IN Practitioner - Otolaryngology 2062456650 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Otolaryngology Associates, LLC Otolaryngology CurrentSince Jan 1, 1996 Accepting new patients
Major Hospital Past Accepting new patients

Locations

11725 Illinois St
Ste 445
Carmel, IN 46032
Phone (317) 573-4370

13100 E 136th St
Ste 1200
Fishers, IN 46037
Phone (317) 573-4370

9002 N Meridian St
Ste 214
Indianapolis, IN 46260
Phone (317) 208-3813

9002 N Meridian St
Ste 222
Indianapolis, IN 46260
Phone (317) 573-4370

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IEEADA

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.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385942400000",
    "number": "1376600783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9002 N MERIDIAN ST",
            "address_2": "SUITE 222",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462605350",
            "telephone_number": "317-573-4370",
            "fax_number": "317-819-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11725 N ILLINOIS ST",
            "address_2": "SUITE 445",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460323010",
            "telephone_number": "317-573-4370",
            "fax_number": "317-819-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCSOLEY",
        "first_name": "THOMAS",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2013-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IN",
            "license": "01028981A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "040000759",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100237750",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.