Active NPI
Daniel Jason Ordaz, MD
- Sports Medicine (Family Medicine) Physician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- 01072784A
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201098750 | Medicaid | IN | |
| Q00311012 | Other | IN | RAILROAD 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Sports Medicine
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 01072784A | IN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Physicians of Indiana Inc | Current | Accepting new patients | |
| Community Physicians of Indiana Inc | Family Medicine | Current | Accepting new patients |
| University Family Physicians, Inc. | Current | Accepting new patients | |
| University Family Physicians, Inc. | Family Medicine | Current | 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
- 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.
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1619105244
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1043275787
-
- Endocrinology, Diabetes & Metabolism Physician
- Carmel, IN
- NPI 1992396337
-
- Durable Medical Equipment & Medical Supplies
- Indianapolis, IN
- NPI 1669828042
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1336119478
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1235109778
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.