Individual provider Active NPI

Teresa Manuella Quant-Callender, M.D.

  • Pediatrics Physician
  • Anderson, IN
National Provider Identifier
1427154855
Registry record updated Feb 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
01057773A Issued in IN
Practice address
1629 Medical Arts Blvd
Suite 200
Anderson, IN 46011-3454
Phone
(765) 298-5439
Fax
(765) 298-4920
NPI assigned
Sep 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 01057773A IN Primary

Addresses

Primary practice location

1629 Medical Arts Blvd
Suite 200
Anderson, IN 46011-3454

Mailing address

6626 E 75TH St
Suite 500
Indianapolis, IN 46250-2805

Other identifiers 3

IdentifierTypeStateIssuer
200482290BMedicaidIN
P01723983OtherINRR MEDICARE
200482290MedicaidIN

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
I20050511000642 IN Practitioner - Pediatric Medicine 3678513470 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01057773AINMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Physicians of Indiana Inc CurrentSince Oct 1, 2016 Accepting new patients
Community Physicians of Indiana Inc Pediatrics CurrentSince Oct 1, 2016 Accepting new patients
Jane Pauley Community Health Center Inc CurrentSince Aug 6, 2024 Accepting new patients
Major Hospital Past Accepting new patients

Locations

5819 Reliable Pkwy
Chicago, IL 60686

1629 Medical Arts Blvd
Anderson, IN 46011
Phone (317) 934-0755

1629 Medical Arts Blvd
#200
Anderson, IN 46011
Phone (765) 298-5439

1210 Medical Arts Blvd
Ste 300
Anderson, IN 46011
Phone (765) 298-4550

1229 Lincoln St
Anderson, IN 46016
Phone (765) 253-5222

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

8931 E 30th St
Indianapolis, IN 46219
Phone (317) 355-9320

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

1503 N Mitthoefer Rd
Indianapolis, IN 46229

Interoperability endpoints

  • Direct secure messaging: tquantcallender717350@direct.ochin.org
  • Direct secure messaging: tquantcallender206610@ecommunitydirect.com

Organizations & group practices 4

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": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486339200000",
    "number": "1427154855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6626 E 75TH ST",
            "address_2": "SUITE 500",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1629 MEDICAL ARTS BLVD",
            "address_2": "SUITE 200",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460113454",
            "telephone_number": "765-298-5439",
            "fax_number": "765-298-4920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUANT-CALLENDER",
        "first_name": "TERESA",
        "middle_name": "MANUELLA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2017-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01057773A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200482290B",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01723983",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200482290",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, IN

Sources for this page

Verify at the official NPI Registry.