Active NPI
Margaret Elaine Southwood, NP
- Pediatric Nurse Practitioner
- Carmel, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 71000622A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200174630 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 71000622A | IN | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Family Physicians, Inc. | Current | Accepting new patients | |
| Indiana University Health Care Associates, Inc | Current | Accepting new patients | |
| University Family Physicians, Inc. | Current | 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.
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dba Groups Recover Together
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- NPI 1891102497
-
dba IU Health Physicians
- General Practice Physician
- Indianapolis, IN
- NPI 1902032832
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1043275787
-
- Durable Medical Equipment & Medical Supplies
- Indianapolis, IN
- NPI 1669828042
-
- Internal Medicine Physician
- Indianapolis, IN
- NPI 1861441537
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.