James Matthew Andry, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01051736A Issued in IN

Practice address

451 S Park Ridge Rd
Suite 101
Bloomington, IN 47401-8589

Phone

(812) 331-8282

Fax

(812) 331-8283

NPI assigned

Jun 16, 2005

Last updated

Dec 13, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Previously, effective Aug 2, 2018 through Aug 2, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: james.andry@655184229957636.direct.elationemr.com
• Direct secure messaging: james.andry@660209177657348.direct.elationemr.com

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.

• Andry Medical Services

  • Family Medicine Physician
  • Bloomington, IN
  • NPI 1982117172
  NPD Authorized official
• Emergency Physicians of Indianapolis, PC

  • Emergency Medicine Physician
  • Indianapolis, IN
  • NPI 1770538340
  NPD (past)
• Ima Inc Laboratory

  • Clinical Medical Laboratory
  • Bloomington, IN
  • NPI 1588669667
  NPD (past)
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)
• Rush Memorial Hospital

  • Critical Access Hospital
  • Rushville, IN
  • NPI 1497726020

  Family Medicine

  NPD (past)
• Gibson Community Hospital Association

  dba Gibson Area Hospital and Health Services

  • Critical Access Hospital
  • Gibson City, IL
  • NPI 1114935681
  NPD (past)

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386892800000",
    "number": "1447255369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 S PARK RIDGE RD",
            "address_2": "SUITE 101",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474018589",
            "telephone_number": "812-331-8282",
            "fax_number": "812-331-8283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 S PARK RIDGE RD",
            "address_2": "SUITE 101",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474018589",
            "telephone_number": "812-331-8282",
            "fax_number": "812-331-8283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRY",
        "first_name": "JAMES",
        "middle_name": "MATTHEW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2013-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01051736A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200238830",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tyra Anderson, RBT
• Roberto Andrade-Plaza, BCBA, IBA
• Megan Andrew, RBT
• Ashlyn Rose Andrews, CCC-SLP
• Andry Medical Services
• Anesthesia Care of Bloomington PC
• Anew Gynecology and Womens Health PC
• Angela R Marshall PSYD Inc
• Angela R Marshall PSYD LLC
• Blythe Elizabeth Angle

• Family Medicine Physician in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2013; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.