NPIMap

Individual provider Active NPI

Brian K Sloan, MD

  • Emergency Medicine Physician
  • Indianapolis, IN
National Provider Identifier
1376652255
Registry record updated Feb 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
01048961A Issued in IN
Practice address
1001 W 10TH St
Indianapolis, IN 46202-2859
Phone
(317) 630-7276
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 01048961A IN Primary

Addresses

Primary practice location

1001 W 10TH St
Indianapolis, IN 46202-2859

Mailing address

250 N Shadeland Ave
Ste 130 Provider Enrollment
Indianapolis, IN 46219-4959

Other identifiers 2

IdentifierTypeStateIssuer
000000205301OtherINANTHEM
200206070MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050503001085 IN Practitioner - Emergency Medicine 2668412297 Reassigns benefits to 1 organization
I20221128001159 IL Practitioner - Emergency Medicine 2668412297 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Indiana University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hamilton Memorial Hospital DistrictGroup PAC ID 6608865985, 16 clinicians

Practice addresses (Care Compare)

1112 Oak St
Carmi, IL 62821-1344
Phone (618) 382-5030

611 S Marshall Ave
MC Leansboro, IL 62859-1213
Phone (618) 643-2361

Hospital & facility affiliations

  • LHC-Illinois Home Health Care Home health agency, Marion, IL, CCN 147716
  • SSM Health at Home Health-Illinois Home health agency, Mount Vernon, IL, CCN 147088
  • Hamilton Memorial Hospital Hospital, McLeansboro, IL, CCN 141326
  • Ferrell Hospital Community Foundations Hospital, Eldorado, IL, CCN 141324
  • Good Samaritan Regional HLTH Center Hospital, Mount Vernon, IL, CCN 140046
  • Silver Foxes Sr Living & Rehab Nursing home, McLeansboro, IL, CCN 146146
  • White County Rehab and Nursing Nursing home, Carmi, IL, CCN 146124

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01048961AINMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hamilton Memorial Hospital District CurrentSince Nov 1, 2022 Accepting new patients
Icem-Wishard LLC Emergency Medicine CurrentSince Aug 1, 2010 Accepting new patients
Hamilton Memorial Hospital District CurrentSince Nov 1, 2022 Accepting new patients
Hamilton Memorial Hospital District Current Accepting new patients
University Emergency Medicine Emergency Medicine Past Accepting new patients
Elite Emergency Physicians Inc Emergency Medicine Past Accepting new patients
Lafayette Emergency Physicians, Inc Emergency Medicine PastSince May 9, 2021 Accepting new patients

Locations

1112 Oak St
Carmi, IL 62821
Phone (217) 732-9651

5911 Reliable Pkwy
Chicago, IL 60686

611 S Marshall Ave
Mc Leansboro, IL 62859
Phone (618) 542-2146

1001 W 10th St
Indianapolis, IN 46202
Phone (317) 630-6175

250 N Shadeland Ave
Ste 130
Indianapolis, IN 46219
Phone (317) 962-4836

720 Eskenazi Ave
Indianapolis, IN 46202
Phone (317) 880-0000

Interoperability endpoints

  • Direct secure messaging: bsloan441383@direct-ehr-ssmhc.com
  • Direct secure messaging: bsloan13719@direct.eskenazihealth.edu
  • FHIR API: https://fhir-usa.unify.chbase.com/org/hamilto-2525a05c

Organizations & group practices 7

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393459200000",
    "number": "1376652255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "address_2": "STE 130 PROVIDER ENROLLMENT",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 W 10TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462022859",
            "telephone_number": "317-630-7276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOAN",
        "first_name": "BRIAN",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2014-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01048961A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000205301",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200206070",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.