Individual provider Active NPI

Daniel Jason Ordaz, MD

  • Sports Medicine (Family Medicine) Physician
  • Indianapolis, IN
National Provider Identifier
1437474988
Registry record updated Aug 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
01072784A Issued in IN
Practice address
201 S Delaware St Ste 500
Indianapolis, IN 46204-3746
Phone
(317) 415-5747
NPI assigned
Mar 28, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01072784A IN
Sports Medicine (Family Medicine) Physician 207QS0010X 01072784A IN Primary

Addresses

Primary practice location

201 S Delaware St Ste 500
Indianapolis, IN 46204-3746

Mailing address

250 W 96TH St # 520
Indianapolis, IN 46260-1316

Other practice location 1

14455 Clay Terrace Blvd
Carmel, IN 46032-3605
Phone (317) 415-5795

Other practice location 2

13914 Southeastern Pkwy Ste 302
Fishers, IN 46037-7126
Phone (317) 415-5795

Other practice location 3

8227 Northwest Blvd
Suite 160
Indianapolis, IN 46278-1387
Phone (317) 415-5795

Other practice location 4

555 E County Line Rd Ste 108
Greenwood, IN 46143-1064
Phone (317) 497-2130

Other identifiers 2

IdentifierTypeStateIssuer
201098750MedicaidIN
Q00311012OtherINRAILROAD MEDICARE

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
I20140717000609 IN Practitioner - Sports MedicinePractitioner - Family Practice 6103059100 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Sports MedicineAlso: Family Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Physicians of Indiana IncGroup PAC ID 1759416662, 1,569 clinicians

Practice addresses (Care Compare)

555 E County Line Rd
Suite 108
Greenwood, IN 46143-1064
Phone (317) 497-2130

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01072784AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Physicians of Indiana Inc CurrentSince Apr 19, 2021 Accepting new patients
Community Physicians of Indiana Inc Family Medicine CurrentSince Apr 19, 2021 Accepting new patients
University Family Physicians, Inc. CurrentSince Aug 1, 2014 Accepting new patients
University Family Physicians, Inc. Family Medicine CurrentSince Aug 1, 2014 Accepting new patients
Major Hospital Past Accepting new patients

Locations

7216 Solutions Ctr
Chicago, IL 60677

5819 Reliable Pkwy
Chicago, IL 60686

13914 Southeastern Pkwy
Ste 302
Fishers, IN 46037
Phone (317) 415-5795

555 E County Line Rd
Ste 108
Greenwood, IN 46143
Phone (317) 497-2130

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

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

Interoperability endpoints

  • Direct secure messaging: dordaz449193@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 2

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": "1269734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661472000000",
    "number": "1437474988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 W 96TH ST # 520",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S DELAWARE ST STE 500",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462043746",
            "telephone_number": "317-415-5747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14455 Clay Terrace Blvd",
            "address_purpose": "LOCATION",
            "city": "Carmel",
            "state": "IN",
            "postal_code": "460323605",
            "country_code": "US",
            "telephone_number": "317-415-5795",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13914 Southeastern Pkwy Ste 302",
            "address_purpose": "LOCATION",
            "city": "Fishers",
            "state": "IN",
            "postal_code": "460377126",
            "country_code": "US",
            "telephone_number": "317-415-5795",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8227 Northwest Blvd",
            "address_2": "Suite 160",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462781387",
            "country_code": "US",
            "telephone_number": "317-415-5795",
            "fax_number": "317-415-5748",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "555 E County Line Rd Ste 108",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "IN",
            "postal_code": "461431064",
            "country_code": "US",
            "telephone_number": "317-497-2130",
            "fax_number": "317-957-2730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORDAZ",
        "first_name": "DANIEL",
        "middle_name": "JASON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-28",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01072784A",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "IN",
            "license": "01072784A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201098750",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "Q00311012",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.