Individual provider Active NPI

Russell B Palmer, MD

  • Internal Medicine Physician
  • Carmel, IN
National Provider Identifier
1427072263
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01045376A Issued in IN
Practice address
11911 N Meridian Street
Suite 110
Carmel, IN 46032-6919
Phone
(317) 621-1151
Fax
(317) 621-1179
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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 01045376A IN Primary

Addresses

Primary practice location

11911 N Meridian Street
Suite 110
Carmel, IN 46032-6919

Mailing address

6626 E. 75TH Street
Suite 500
Indianapolis, IN 46250-2890
Phone (317) 621-6818

Other identifiers 3

IdentifierTypeStateIssuer
200098950MedicaidIN
000000313333OtherINANTHEM
P01291601OtherINRAILROAD MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rpalmer10833@eCommunityDirect.com Community Physicians of Indiana Inc

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
I20040405000433 IN Practitioner - Internal Medicine 5092708321 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Alabama School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Physicians of Indiana IncGroup PAC ID 1759416662, 1,569 clinicians

Practice addresses (Care Compare)

11911 N Meridian St
Suite 110
Carmel, IN 46032-6919
Phone (317) 621-1151

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Physicians of Indiana Inc CurrentSince Apr 20, 2011 Accepting new patients
Community Physicians of Indiana Inc Internal Medicine CurrentSince Apr 20, 2011 Accepting new patients
Major Hospital Past Accepting new patients
Rush Memorial Hospital Past Accepting new patients
Community Hospitals of Indiana Inc Past Accepting new patients

Locations

5819 Reliable Pkwy
Chicago, IL 60686

2201 Hillcrest Dr
Anderson, IN 46012
Phone (765) 298-4600

11911 N Meridian St
Carmel, IN 46032
Phone (317) 571-1151

11911 N Meridian St
Ste 110
Carmel, IN 46032
Phone (317) 571-1151

11911 N Meridian St
Ste 100
Carmel, IN 46032
Phone (317) 621-6800

11911 N Meridian St
Ste 150
Carmel, IN 46032
Phone (317) 621-6700

1664 W Smith Valley Rd
Greenwood, IN 46142
Phone (317) 887-7640

8177 Clearvista Pkwy
Indianapolis, IN 46256
Phone (317) 621-7800

1703 N Post Rd
Indianapolis, IN 46219
Phone (317) 355-3200

10122 E 10th St
Indianapolis, IN 46229
Phone (317) 355-2132

10122 E 10th St
#2
Indianapolis, IN 46229
Phone (317) 355-3355

6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547

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

10122 E 10th St
Ste 220
Indianapolis, IN 46229
Phone (317) 355-2200

Interoperability endpoints

  • Direct secure messaging: rpalmer10833@ecommunitydirect.com

Organizations & group practices 5

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 6

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1427072263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6626 E. 75TH STREET",
            "address_2": "SUITE 500",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502890",
            "telephone_number": "317-621-6818",
            "fax_number": "317-621-1179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11911 N MERIDIAN STREET",
            "address_2": "SUITE 110",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460326919",
            "telephone_number": "317-621-1151",
            "fax_number": "317-621-1179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "RUSSELL",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2023-11-27",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01045376A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200098950",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000313333",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01291601",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rpalmer10833@eCommunityDirect.com",
            "affiliation": "Y",
            "affiliationName": "Community Physicians of Indiana Inc",
            "address_1": "11911 N Meridian Street",
            "address_2": "Suite 110",
            "city": "Carmel",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460326919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.