Active NPI
Kyle L Carpenter, MD
- Surgical Critical Care Physician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Critical Care Physician
- License
- 01090764A
- Practice address
- 545 Barnhill Dr
Emerson Hall 203
Indianapolis, IN 46202-5112 - Phone
- (317) 274-4966
- Fax
- (317) 274-8769
- NPI assigned
- Jun 10, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 01090764A | IN | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 11018342A | IN | |
| Surgical Critical Care Physician | 2086S0102X | 01090764A | IN | Primary |
Addresses
Primary practice location
545 Barnhill Dr
Emerson Hall 203
Indianapolis, IN 46202-5112
Mailing address
545 Barnhill Dr
Emerson Hall 203
Indianapolis, IN 46202-5112
Phone (317) 274-4966
Other practice location 1
720 Eskenazi Ave
Indianapolis, IN 46202-5187
Phone (317) 880-5046
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kcarpenter@direct.iuhealth.org | Direct | |
| Direct Messaging Address | kcarpenter@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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Baylor College of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258
720 Eskeanzi Ave
Indianapolis, IN 46202-5166
Phone (317) 880-0320
Hospital & facility affiliations
- Eskenazi Health
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair (minimally invasive) | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Surgeons, Inc. | Surgery | Current | Accepting new patients |
| Iu Health Medical Group, LLC | Current | Accepting new patients |
Locations
7630 Solutions Ctr
Chicago, IL 60677
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
550 University Blvd
Indianapolis, IN 46202
Phone (217) 274-5000
545 Barnhill Dr
#203
Indianapolis, IN 46202
Phone (317) 274-3086
720 Eskenazi Ave
Indianapolis, IN 46202
Phone (317) 880-0000
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
Interoperability endpoints
- kcarpenter@direct.iuhealth.org
- kcarpenter13982@direct.eskenazihealth.edu
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.
-
- General Practice Physician
- Indianapolis, IN
- NPI 1326893777
-
- Surgery Physician
- Indianapolis, IN
- NPI 1316966229
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1568407310
-
- Methadone Clinic
- Indianapolis, IN
- NPI 1760922249
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690502400000",
"number": "1407237019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "545 BARNHILL DR",
"address_2": "EMERSON HALL 203",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462025112",
"telephone_number": "317-274-4966",
"fax_number": "317-274-8769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "545 BARNHILL DR",
"address_2": "EMERSON HALL 203",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462025112",
"telephone_number": "317-274-4966",
"fax_number": "317-274-8769"
}
],
"practiceLocations": [
{
"address_1": "720 Eskenazi Ave",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462025187",
"country_code": "US",
"telephone_number": "317-880-5046",
"fax_number": "317-880-0414",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARPENTER",
"first_name": "KYLE",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-06-10",
"last_updated": "2023-07-28",
"certification_date": "2023-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IN",
"license": "01090764A",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "IN",
"license": "11018342A",
"primary": false
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "IN",
"license": "01090764A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kcarpenter@direct.iuhealth.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "720 Eskenazi Ave",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462025187",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kcarpenter@direct.iuhealth.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "545 Barnhill Dr",
"address_2": "Emerson Hall 203",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462025112",
"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 Jul 28, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.