Individual provider Active NPI

Margaret Elaine Southwood, NP

  • Pediatric Nurse Practitioner
  • Carmel, IN
National Provider Identifier
1437160413
Registry record updated Dec 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
71000622A Issued in IN
Practice address
11725 Illinois St Ste 490
Carmel, IN 46032-3011
Phone
(317) 688-5220
Fax
(317) 688-5695
NPI assigned
Aug 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 71000622A IN
Pediatric Nurse Practitioner 363LP0200X 71000622A IN Primary

Addresses

Primary practice location

11725 Illinois St Ste 490
Carmel, IN 46032-3011

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other practice location 1

4000 N Meridian St Apt 2D
Indianapolis, IN 46208-4025
Phone (317) 809-0259

Other identifiers 1

IdentifierTypeStateIssuer
200174630MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address msouthwood@direct.iuhealth.org

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110929000133 IN Practitioner - Nurse Practitioner 0941471692 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Recover Together IncGroup PAC ID 7810247533, 141 clinicians

Practice addresses (Care Compare)

100 Cherry Tree PLZ
Suite B
Washington, IN 47501-4539
Phone (800) 683-8313

1017 3Rd St
Columbus, IN 47201-6870
Phone (608) 977-7226

1408 Darlington Ave
Crawfordsville, IN 47933-2056
Phone (800) 683-8313

1430 N Gardner St
Scottsburg, IN 47170-8720
Phone (800) 683-8313

1520 Washington St
New Castle, IN 47362-4355
Phone (800) 683-8313

1528 NW 5TH St
Suite 100
Richmond, IN 47374-1844
Phone (800) 683-8313

1919 State St
Suite 244
New Albany, IN 47150-6804
Phone (608) 977-7226

3282 Mallard Cove LN
Fort Wayne, IN 46804-2883
Phone (800) 683-8313

614 Andrew Ave
La Porte, IN 46350-4677
Phone (800) 683-8313

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
71000622AINMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Family Physicians, Inc. CurrentSince Nov 6, 2013 Accepting new patients
Indiana University Health Care Associates, Inc CurrentSince Oct 6, 2011 Accepting new patients
University Family Physicians, Inc. CurrentSince Nov 6, 2013 Accepting new patients
University Medical Diagnostic Associates, Inc. Past Accepting new patients

Locations

5208 Reliable Pkwy
Chicago, IL 60686

7216 Solutions Ctr
Chicago, IL 60677

11590 N Meridian St
Ste 300
Carmel, IN 46032
Phone (317) 944-8906

11725 Illinois St
Ste 490
Carmel, IN 46032
Phone (317) 688-5220

11725 Illinois St
Carmel, IN 46032
Phone (317) 688-4864

250 N Shadeland Ave
Ste 130
Indianapolis, IN 46219
Phone (317) 962-4836

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

1520 N Senate Ave
Indianapolis, IN 46202
Phone (317) 962-0857

1701 N Senate Blvd
Bldg C6
Indianapolis, IN 46202
Phone (913) 962-2000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1437160413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11725 ILLINOIS ST STE 490",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460323011",
            "telephone_number": "317-688-5220",
            "fax_number": "317-688-5695"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4000 N Meridian St Apt 2D",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462084025",
            "country_code": "US",
            "telephone_number": "317-809-0259",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOUTHWOOD",
        "first_name": "MARGARET",
        "middle_name": "ELAINE",
        "name_prefix": "Prof.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "71000622A",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IN",
            "license": "71000622A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200174630",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "msouthwood@direct.iuhealth.org",
            "affiliation": "N",
            "address_1": "11725 Illinois St Ste 490",
            "city": "Carmel",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460323011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.