Individual provider Active NPI

Cheryl L. Westmoreland, M.D.

  • Internal Medicine Physician
  • Muncie, IN
National Provider Identifier
1447274964
Registry record updated Jan 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01043110A Issued in IN
Practice address
2600 W White River Blvd
Suite 1
Muncie, IN 47303-9906
Phone
(765) 254-5602
Fax
(765) 254-5603
NPI assigned
Jul 27, 2006
Last updated
Jan 26, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01043110A IN Primary

Addresses

Primary practice location

2600 W White River Blvd
Suite 1
Muncie, IN 47303-9906

Mailing address

2600 W White River Blvd
Suite 1
Muncie, IN 47303-9906
Phone (765) 254-5602

Other identifiers 1

IdentifierTypeStateIssuer
200148870MedicaidIN

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
I20170525000312 IN Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 7012978513

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01043110AINMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Open Door Health Services, Inc. Past Accepting new patients
Renal Associates of Central in PastSince Jul 1, 2015 Accepting new patients

Organizations & group practices 2

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485388800000",
    "number": "1447274964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 W WHITE RIVER BLVD",
            "address_2": "SUITE 1",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473039906",
            "telephone_number": "765-254-5602",
            "fax_number": "765-254-5603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 W WHITE RIVER BLVD",
            "address_2": "SUITE 1",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473039906",
            "telephone_number": "765-254-5602",
            "fax_number": "765-254-5603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESTMORELAND",
        "first_name": "CHERYL",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2017-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01043110A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200148870",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Muncie, IN

Sources for this page

Verify at the official NPI Registry.