NPIMap

Individual provider Active NPI

Anna Dudley

  • Internal Medicine Physician
  • Indianapolis, IN
National Provider Identifier
1386220960
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01093547A Issued in IN
Practice address
8424 Naab Rd Ste 2a
Indianapolis, IN 46260-1966
Phone
(317) 415-6300
NPI assigned
Mar 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01093547A IN Primary

Addresses

Primary practice location

8424 Naab Rd Ste 2a
Indianapolis, IN 46260-1966

Mailing address

8424 Naab Rd Ste 2a
Indianapolis, IN 46260-1966
Phone (317) 415-6300

Other practice location 1

8414 Naab Rd Ste 100
Indianapolis, IN 46260-1972
Phone (317) 338-7510

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240619002237 IN Practitioner - Internal Medicine 2567864325 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Indiana University School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Vincent Medical Group IncGroup PAC ID 7012047640, 728 clinicians

Practice addresses (Care Compare)

8424 Naab Rd
Suite 2a
Indianapolis, IN 46260-1966
Phone (317) 415-6300

Hospital & facility affiliations

  • Elara Caring Home health agency, Kokomo, IN, CCN 157586
  • Ascension St Vincent Hospital Hospital, Indianapolis, IN, CCN 150084
  • Ascension St Vincent Carmel Hospital, Carmel, IN, CCN 150157
  • Ascension St Vincent Fishers Hospital, Fishers, IN, CCN 150181
  • Indiana University Health Hospital, Indianapolis, IN, CCN 150056
  • Marquette Nursing home, Indianapolis, IN, CCN 155198

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01093547AINMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincent Medical Group, Inc. Internal Medicine CurrentSince Jul 1, 2024 Accepting new patients
St. Vincent Medical Group, Inc. Internal Medicine CurrentSince Jul 1, 2024 Accepting new patients
St Vincent Medical Group Inc Past Accepting new patients

Locations

250 W 96th St
#520
Indianapolis, IN 46260
Phone (317) 583-3331

8414 Naab Rd
Ste 100
Indianapolis, IN 46260

8433 Harcourt Rd
Ste 100
Indianapolis, IN 46260
Phone (317) 583-7702

8424 Naab Rd
Ste 2A
Indianapolis, IN 46260
Phone (317) 415-6300

8414 Naab Rd
Indianapolis, IN 46260
Phone (317) 338-1600

Interoperability endpoints

  • Direct secure messaging: anna.dudley.2@7598.direct.athenahealth.com

Organizations & group practices 8

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 7

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

NPI Registry JSON

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

{
    "created_epoch": "1616457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1386220960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8424 NAAB RD STE 2A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601966",
            "telephone_number": "317-415-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8424 NAAB RD STE 2A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601966",
            "telephone_number": "317-415-6300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8414 Naab Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462601972",
            "country_code": "US",
            "telephone_number": "317-338-7510",
            "fax_number": "317-338-7539",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUDLEY",
        "first_name": "ANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-23",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01093547A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.