Individual provider Active NPI

Woodrow Augustus Myers Jr., MD

  • Internal Medicine Physician
  • Indianapolis, IN
National Provider Identifier
1407910284
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G36842 Issued in CA
Practice address
1 N Illinois St
2101
Indianapolis, IN 46204-1935
Phone
(317) 685-9923
Fax
(317) 685-9924
NPI assigned
Dec 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 G36842 CA Primary

Addresses

Primary practice location

1 N Illinois St
2101
Indianapolis, IN 46204-1935

Mailing address

1 N Illinois St
2101
Indianapolis, IN 46204-1935
Phone (317) 685-9923

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20260205001948 CA Practitioner - Internal Medicine 5395835052 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Harvard Medical School, 1977
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

250 Quail Ridge Rd
Scotts Valley, CA 95066-4821

725 W Town and Country Rd
Orange, CA 92868-4703

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G36842CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness & Equity Foundation Inc. CurrentSince Nov 23, 2025 Accepting new patients
Wea Ca PC CurrentSince Nov 23, 2025 Accepting new patients
University Medical Diagnostic Associates, Inc. Internal Medicine Past Accepting new patients

Locations

969 E 12th St
Ste D
Los Angeles, CA 90021
Phone (408) 341-9606

969 E 12th St
Los Angeles, CA 90021

160 N Luring Dr
Ste D
Palm Springs, CA 92262
Phone (408) 341-9606

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407910284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 N ILLINOIS ST",
            "address_2": "2101",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462041935",
            "telephone_number": "317-685-9923",
            "fax_number": "317-685-9924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 N ILLINOIS ST",
            "address_2": "2101",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462041935",
            "telephone_number": "317-685-9923",
            "fax_number": "317-685-9924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "WOODROW",
        "middle_name": "AUGUSTUS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G36842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.