Individual provider Active NPI

Ashley Gene Maire Funk, MD

  • Cardiovascular Disease Physician
  • Kokomo, IN
National Provider Identifier
1447579396
Registry record updated Jun 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
01076276A Issued in IN
Practice address
2030 W Boulevard
Kokomo, IN 46902-6079
Phone
(765) 454-0200
NPI assigned
May 18, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 4301096244 MI
Cardiovascular Disease Physician 207RC0000X 01076276A IN Primary

Addresses

Primary practice location

2030 W Boulevard
Kokomo, IN 46902-6079

Mailing address

2030 W Boulevard
Kokomo, IN 46902-6079

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ashley.funk.1@7598.direct.athenahealth.com St. Vincent Medical Group, Inc.

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
I20160721000526 IN Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 8527368687 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Indiana University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Vincent Medical Group IncGroup PAC ID 7012047640, 728 clinicians

Practice addresses (Care Compare)

1000 N 16TH St
New Castle, IN 47362-4319

10580 N Meridian St
Carmel, IN 46290-1028
Phone (317) 583-5000

10590 N Meridian St
Carmel, IN 46290-1028

1206 E National Ave
Brazil, IN 47834-2718
Phone (812) 442-2480

13500 N Meridian St
Carmel, IN 46032-1456
Phone (317) 582-7000

13861 Olio Rd
Fishers, IN 46037-3487
Phone (317) 338-7136

1400 E 9TH St
Rochester, IN 46975-8931
Phone (574) 224-1167

2001 W 86TH St
Indianapolis, IN 46260-1902
Phone (317) 338-2345

2030 W Boulevard
Kokomo, IN 46902-6079
Phone (765) 454-0200

301 Henry St
North Vernon, IN 47265-1030
Phone (812) 352-4427

315 W Old Key Dr
Suite 170
Peru, IN 46970-9058
Phone (765) 327-2166

412 N Monroe St
St Vincent Williamsport
Williamsport, IN 47993-1049
Phone (765) 762-4056

8050 Township Line Rd
Indianapolis, IN 46260-2478
Phone (317) 415-8500

8433 Harcourt Rd
Suite 100
Indianapolis, IN 46260-2193
Phone (317) 583-7600

Hospital & facility affiliations

  • Ascension St Vincent Kokomo Hospital, Kokomo, IN, CCN 150010
  • Ascension St Vincent Hospital Hospital, Indianapolis, IN, CCN 150084
  • Henry County Memorial Hospital Hospital, New Castle, IN, CCN 150030
  • Ascension St Vincent Carmel Hospital, Carmel, IN, CCN 150157
  • Ascension St Vincent Fishers Hospital, Fishers, IN, CCN 150181

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rush Memorial Hospital CurrentSince Sep 25, 2017 Accepting new patients
St. Vincent Medical Group, Inc. CurrentSince Sep 12, 2016 Accepting new patients
Rush Memorial Hospital Cardiovascular Disease CurrentSince Sep 25, 2017 Accepting new patients
St Vincent Physician Services Hospital and Health Care Center CurrentSince Sep 12, 2016 Accepting new patients
New Castle Clinic Inc Cardiovascular Disease CurrentSince Mar 11, 2017 Accepting new patients
St Vincent Physician Services Hospital and Health Care Center CurrentSince Sep 12, 2016 Accepting new patients
New Castle Clinic Inc CurrentSince Mar 11, 2017 Accepting new patients
St. Vincent Medical Group, Inc. Cardiovascular Disease Current Accepting new patients
St Vincent Medical Group Inc Cardiovascular Disease Past Accepting new patients
Rush Memorial Hospital Past Accepting new patients
New Castle Clinic Inc Past Accepting new patients

Locations

8333 Naab Rd
Indianapolis, IN 46260
Phone (317) 338-3103

2001 W 86th St
Indianapolis, IN 46260
Phone (317) 338-3617

8433 Harcourt Rd
Ste 100
Indianapolis, IN 46260
Phone (317) 583-7702

250 W 96th St
#520
Indianapolis, IN 46260
Phone (317) 583-3331

8240 Naab Rd
Ste 155
Indianapolis, IN 46260
Phone (317) 338-7760

2030 W Boulevard
Kokomo, IN 46902
Phone (765) 454-0200

1000 N 16th St
Ste 240
New Castle, IN 47362
Phone (765) 521-1461

1300 N Main St
Rushville, IN 46173
Phone (317) 802-3106

110 E 13th St
Rushville, IN 46173
Phone (765) 932-7063

Interoperability endpoints

  • Direct secure messaging: ashley.funk.1@7598.direct.athenahealth.com

Organizations & group practices 11

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 6

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": "1274140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1447579396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 W BOULEVARD",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469026079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 W BOULEVARD",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469026079",
            "telephone_number": "765-454-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNK",
        "first_name": "ASHLEY",
        "middle_name": "GENE MAIRE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-18",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": "4301096244",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "01076276A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ashley.funk.1@7598.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "St. Vincent Medical Group, Inc.",
            "address_1": "2030 W Boulevard",
            "city": "Kokomo",
            "state": "IN",
            "country_code": "US",
            "postal_code": "469026079",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kokomo, IN

Sources for this page

Verify at the official NPI Registry.