Individual provider Active NPI

Grant Allan Carson, MD

  • Anesthesiology Physician
  • Carmel, IN
National Provider Identifier
1407175763
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
01072829A Issued in IN
Practice address
11700 N Meridian St
Carmel, IN 46032-4656
Phone
(317) 577-4200
NPI assigned
May 26, 2010
Last updated
Nov 26, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 11015407A IN
Anesthesiology Physician 207L00000X 01072829A IN Primary
Anesthesiology Physician 207L00000X 01072829 IN

Addresses

Primary practice location

11700 N Meridian St
Carmel, IN 46032-4656

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other practice location 1

1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (317) 274-0275

Other practice location 2

1515 N. Madison
Anderson, IN 46011-3453
Phone (888) 802-6902

Other identifiers 3

IdentifierTypeStateIssuer
201107560MedicaidIN
Q00372285OtherINRAILROAD PTAN
P01424290OtherINRAIL ROAD PTAN

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address gcarson@direct.iuhealth.org Direct
Direct Messaging Address gcarson@direct.iuhealth.org Direct

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
I20140731001356 IN Practitioner - Anesthesiology 1153567789 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Indiana University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iu Health Medical Group LLCGroup PAC ID 9638617913, 4,382 clinicians
Aas Indiana LLCGroup PAC ID 4688045115, 43 clinicians

Practice addresses (Care Compare)

1701 N Senate Ave
Indianapolis, IN 46202-5306
Phone (317) 962-2000

4105 Dicke Rd
Fort Wayne, IN 46804-6135
Phone (260) 268-1000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01072829INMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana Joint Replacement Institute Anesthesiology CurrentSince Dec 2, 2022 Accepting new patients
Iu Anesthesiology Associates, LLC Anesthesiology CurrentSince Jan 1, 2024 Accepting new patients
Iu Health Medical Group, LLC CurrentSince Jan 1, 2025 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Sep 15, 2014 Accepting new patients
Aas Indiana LLC Anesthesiology CurrentSince Nov 1, 2023 Accepting new patients
Indiana Joint Replacement Institute Anesthesiology CurrentSince Dec 2, 2022 Accepting new patients
Indiana University Health Care Associates, Inc CurrentSince Sep 12, 2021 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Sep 15, 2014 Accepting new patients
University Medical Diagnostic Associates, Inc. Past Accepting new patients

Locations

5208 Reliable Pkwy
Chicago, IL 60686

5819 Reliable Pkwy
Chicago, IL 60686

1515 N Madison Ave
Anderson, IN 46011
Phone (317) 870-0488

1316 E 7th St
Auburn, IN 46706
Phone (260) 925-4600

10300 N Illinois St
Ste 1300
Carmel, IN 46290
Phone (317) 225-7084

11700 N Meridian St
Carmel, IN 46032
Phone (317) 688-2000

2520 E DuPont Rd
Fort Wayne, IN 46825
Phone (219) 407-8000

4105 Dicke Rd
Fort Wayne, IN 46804
Phone (260) 268-1000

7230 Engle Rd
Ste 100
Fort Wayne, IN 46804
Phone (317) 620-0232

1130 W Michigan St
Indianapolis, IN 46202
Phone (317) 274-0076

1701 N Senate Ave
Indianapolis, IN 46202
Phone (317) 929-8447

1701 N Senate Blvd
Bldg C6
Indianapolis, IN 46202
Phone (913) 962-2000

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444

2401 W University Ave
Muncie, IN 47303
Phone (765) 747-3111

14065 Westinghouse Dr
Noblesville, IN 46060
Phone (317) 620-0232

9460 E 146th St
Noblesville, IN 46060
Phone (317) 583-3741

Interoperability endpoints

  • Direct secure messaging: gcarson@direct.iuhealth.org
  • Direct secure messaging: grant.carson.1@22724.direct.athenahealth.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1274832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1407175763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11700 N MERIDIAN ST",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460324656",
            "telephone_number": "317-577-4200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 N Senate Blvd",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462021239",
            "country_code": "US",
            "telephone_number": "317-274-0275",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1515 N. Madison",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "IN",
            "postal_code": "460113453",
            "country_code": "US",
            "telephone_number": "888-802-6902",
            "fax_number": "317-870-0499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARSON",
        "first_name": "GRANT",
        "middle_name": "ALLAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-26",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IN",
            "license": "11015407A",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "01072829A",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "01072829",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201107560",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD PTAN",
            "identifier": "Q00372285",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD PTAN",
            "identifier": "P01424290",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gcarson@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1701 N Senate Blvd",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462021239",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gcarson@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "11700 N Meridian St",
            "city": "Carmel",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460324656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.