Individual provider Active NPI

Michael W Method, M.D.

  • Gynecologic Oncology Physician
  • Indianapolis, IN
National Provider Identifier
1437153913
Registry record updated May 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
01049875A Issued in IN
Practice address
7979 N Shadeland Ave
Ste 310
Indianapolis, IN 46250-2042
Phone
(317) 621-3780
Fax
(317) 621-3088
NPI assigned
Jun 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecologic Oncology Physician 207VX0201X 4301075354 MI
Gynecologic Oncology Physician 207VX0201X 01049875A IN Primary

Addresses

Primary practice location

7979 N Shadeland Ave
Ste 310
Indianapolis, IN 46250-2042

Mailing address

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

Other identifiers 3

IdentifierTypeStateIssuer
P01751328OtherINRR MEDICARE
10-4366197MedicaidMI
200234660AMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040511000365 MI Practitioner - Gynecological Oncology 5991794398 Reassigns benefits to 1 organization
I20060328000469 IN Practitioner - Gynecological OncologyPractitioner - Obstetrics/Gynecology 5991794398 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01049875AINMDGynecologic Oncology Physician
4301075354MIMDGynecologic Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Obstetricians-Gynecologists,Inc CurrentSince Oct 1, 2015 Accepting new patients
Advantage Health Saint Mary'S Medical Group CurrentSince Aug 6, 2018 Accepting new patients
Advantage Health Saint Mary'S Medical Group CurrentSince Aug 6, 2018 Accepting new patients
Advantage Health/Saint Mary'S Medical Group Current Accepting new patients
Michiana Hematology Oncology of Michigan, P.C. Gynecologic Oncology Past Accepting new patients
Indiana University Health la Porte Hospital Inc Past Accepting new patients

Locations

7845 Solution Ctr
Chicago, IL 60677

550 University Blvd
#2440
Indianapolis, IN 46202
Phone (317) 274-1661

10047 Crossroad Ct SE
Caledonia, MI 49316
Phone (616) 685-8850

200 Jefferson Ave SE
Grand Rapids, MI 49503
Phone (616) 685-5000

Organizations & group practices 6

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": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493769600000",
    "number": "1437153913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6626 E 75TH ST",
            "address_2": "STE 500",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7979 N SHADELAND AVE",
            "address_2": "STE 310",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502042",
            "telephone_number": "317-621-3780",
            "fax_number": "317-621-3088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METHOD",
        "first_name": "MICHAEL",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2017-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "MI",
            "license": "4301075354",
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "IN",
            "license": "01049875A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01751328",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10-4366197",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200234660A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.