Individual provider Active NPI

Andrew W Crane, M.D.

  • Gastroenterology Physician
  • Indianapolis, IN
National Provider Identifier
1396946596
Registry record updated Mar 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
01063808A Issued in IN
Practice address
8051 South Emerson Ave
Suite 200
Indianapolis, IN 46237-8632
Phone
(317) 865-2955
Fax
(317) 865-2944
NPI assigned
May 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 01063808A IN Primary

Addresses

Primary practice location

8051 South Emerson Ave
Suite 200
Indianapolis, IN 46237-8632

Mailing address

8051 South Emerson Ave
Suite 200
Indianapolis, IN 46237-8632
Phone (317) 865-2955

Other identifiers 2

IdentifierTypeStateIssuer
200865820MedicaidIN
M400048479OtherINMEDICARE PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070727000577 IN Practitioner - GastroenterologyPractitioner - Internal Medicine 0840391330 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Indiana University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Indianapolis Gastroenterology LLCGroup PAC ID 0244201432, 18 clinicians

Practice addresses (Care Compare)

720 N Lincoln St
Greensburg, IN 47240-1327
Phone (317) 865-2955

8051 S Emerson Ave
Suite 200
Indianapolis, IN 46237-8632
Phone 31786529554419

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.29 of 100Reported as group
Quality
64.57
Promoting interoperability
99
Improvement activities
40
Cost
83.9

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy61
Upper gastrointestinal (GI) endoscopy for acid reflux152

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01063808AINMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Indianapolis Gastroenterology, LLC Gastroenterology CurrentSince Jul 18, 2011 Accepting new patients
Major Hospital Past Accepting new patients

Locations

720 N Lincoln St
Greensburg, IN 47240
Phone (812) 522-2349

8051 S Emerson Ave
Ste 200
Indianapolis, IN 46237

2451 Intelliplex Dr
Ste 290
Shelbyville, IN 46176

Interoperability endpoints

  • Direct secure messaging: acrane44695@direct.franciscanalliance.org
  • FHIR API: https://fhir-myrecord.cerner.com/r4/1d5dc169-f536-4ee1-9c67-c93c23521729/

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.

Hospital & facility affiliations 4

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": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583280000000",
    "number": "1396946596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8051 SOUTH EMERSON AVE",
            "address_2": "SUITE 200",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462378632",
            "telephone_number": "317-865-2955",
            "fax_number": "317-865-2944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8051 SOUTH EMERSON AVE",
            "address_2": "SUITE 200",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462378632",
            "telephone_number": "317-865-2955",
            "fax_number": "317-865-2944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRANE",
        "first_name": "ANDREW",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-29",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IN",
            "license": "01063808A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200865820",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "M400048479",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.