Active NPI
Mary Anne Pryzma, MD
- Psychiatry Physician
- Indianapolis, IN
National Provider Identifier
1386857720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 01036522
- Practice address
- 6950 Hillsdale CT
Indianapolis, IN 46250-2040 - Phone
- (317) 621-7740
- Fax
- (317) 621-7608
- NPI assigned
- May 8, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 01036522 | IN | Primary |
Addresses
Primary practice location
6950 Hillsdale CT
Indianapolis, IN 46250-2040
Mailing address
6626 E 75TH Street
Suite 500
Indianapolis, IN 46250-2890
Phone (317) 621-7561
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100132800 | Medicaid | IN | |
| PR50516 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mpryzma8875@eCommunityDirect.com | Community Health Network, Inc |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01036522 | IN | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Network, Inc | Current | Accepting new patients | |
| Community Health Network, Inc | Current | Accepting new patients | |
| St. Vincent Hospital & Health Care Center, Inc. | Psychiatry | Past | Accepting new patients |
| St. Vincent Hospital & Health Care Center, Inc. | Past | Accepting new patients | |
| Community Hospital of Indiana Inc | Past | Accepting new patients | |
| Community Health Network, Inc. | Past | Accepting new patients | |
| Community Health Network, Inc | Past | Accepting new patients |
Locations
6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547
6950 Hillsdale Ct
Indianapolis, IN 46250
Phone (317) 621-7533
Interoperability endpoints
- mpryzma8875@ecommunitydirect.com
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.
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1336119478
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Indianapolis, IN
- NPI 1265477632
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Indianapolis, IN
- NPI 1922336262
-
- Psychiatric Hospital Unit
- Indianapolis, IN
- NPI 1679545966
-
- Specialist
- Indianapolis, IN
- NPI 1194753103
-
- Community/Retail Pharmacy
- Indianapolis, IN
- NPI 1194929646
-
- Psychiatry Physician
- Indianapolis, IN
- NPI 1689869893
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664928000000",
"number": "1386857720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6626 E 75TH STREET",
"address_2": "SUITE 500",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462502890",
"telephone_number": "317-621-7561",
"fax_number": "317-355-6096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6950 HILLSDALE CT",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462502040",
"telephone_number": "317-621-7740",
"fax_number": "317-621-7608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRYZMA",
"first_name": "MARY",
"middle_name": "ANNE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-08",
"last_updated": "2022-10-05",
"certification_date": "2022-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IN",
"license": "01036522",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100132800",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PR50516",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mpryzma8875@eCommunityDirect.com",
"affiliation": "Y",
"affiliationName": "Community Health Network, Inc",
"address_1": "6950 Hillsdale Ct",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462502040",
"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 Oct 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.