Individual provider Active NPI

Julie Daftari, MD

  • Family Medicine Physician
  • Indianapolis, IN
National Provider Identifier
1417034422
Registry record updated Mar 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01048909A Issued in IN
Practice address
7440 Woodland Drive
Indianapolis, IN 46278
Phone
(317) 405-3898
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 47740 KY
Family Medicine Physician 207Q00000X 01048909A IN Primary

Addresses

Primary practice location

7440 Woodland Drive
Indianapolis, IN 46278

Mailing address

7440 Woodland Drive
Indianapolis, IN 46278
Phone (317) 595-2197

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01048909AINMDFamily Medicine Physician
47740KYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Partners LLC Family Medicine CurrentSince Dec 20, 2004 Accepting new patients
Major Hospital Past Accepting new patients

Locations

7430 N Shadeland Ave
Ste 150
Indianapolis, IN 46250
Phone (317) 288-5187

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.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522022400000",
    "number": "1417034422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7440 WOODLAND DRIVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46278",
            "telephone_number": "317-595-2197",
            "fax_number": "317-595-8770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7440 WOODLAND DRIVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46278",
            "telephone_number": "317-405-3898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAFTARI",
        "first_name": "JULIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2018-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "47740",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01048909A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Mar 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.