Individual provider Active NPI

Daniel M Gelfman, MD

  • Cardiovascular Disease Physician
  • Indianapolis, IN
National Provider Identifier
1457325821
Registry record updated Sep 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
01041013A Issued in IN
Practice address
8333 Naab Rd Ste 400
Indianapolis, IN 46260-1992
Phone
(317) 338-6666
Fax
(317) 338-6066
NPI assigned
Feb 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 01041013A IN Primary

Addresses

Primary practice location

8333 Naab Rd Ste 400
Indianapolis, IN 46260-1992

Mailing address

8840 Commerce Park PL Ste E
Indianapolis, IN 46268-3129

Other identifiers 1

IdentifierTypeStateIssuer
100341470MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20221125000117 MD Practitioner - Cardiovascular Disease (Cardiology) 1951498104 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Agnes Healthcare Inc Cardiovascular Disease CurrentSince Nov 11, 2022 Accepting new patients
St Agnes Healthcare Inc CurrentSince Nov 11, 2022 Accepting new patients
The Care Labs, LLC Past Accepting new patients
Care Group LLC Cardiovascular Disease Past Accepting new patients
Rush Memorial Hospital Past Accepting new patients

Locations

3407 Wilkens Ave
Ste 300
Baltimore, MD 21229
Phone (410) 644-5111

900 S Caton Ave
Baltimore, MD 21229
Phone (410) 368-3120

3585 Washington Blvd
Halethorpe, MD 21227

Interoperability endpoints

  • Direct secure messaging: daniel.gelfman.2@20754.direct.athenahealth.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.

NPI Registry JSON

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412035200000",
    "number": "1457325821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8840 COMMERCE PARK PL STE E",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462683129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8333 NAAB RD STE 400",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601992",
            "telephone_number": "317-338-6666",
            "fax_number": "317-338-6066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELFMAN",
        "first_name": "DANIEL",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2014-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "01041013A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100341470",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.