Individual provider Active NPI

Jill B Cole, M.D.

  • Hematology & Oncology Physician
  • Indianapolis, IN
National Provider Identifier
1467424531
Registry record updated Jul 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
01059916A Issued in IN
Practice address
115 W 19TH St
Indianapolis, IN 46202-1310
Phone
(317) 924-4022
Fax
(317) 924-4233
NPI assigned
Feb 3, 2006
Last updated
Jul 3, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 01059916A IN Primary

Addresses

Primary practice location

115 W 19TH St
Indianapolis, IN 46202-1310

Mailing address

115 W 19TH St
Indianapolis, IN 46202-1310
Phone (317) 924-4022

Other identifiers 3

IdentifierTypeStateIssuer
4164395OtherINCIGNA PIN
200505140MedicaidIN
000000358275OtherINANTHEM PIN (ICCC)

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
I20050117000256 IN Practitioner - Medical OncologyPractitioner - Hematology/Oncology 9638128697 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Medical OncologyAlso: Hematology/Oncology
Education
East Tennessee State University Quillen College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Major Multispecialty AssociatesGroup PAC ID 6305997842, 39 clinicians

Practice addresses (Care Compare)

2451 Intelliplex Dr
Shelbyville, IN 46176-8581

2455 Intelliplex Dr
Shelbyville, IN 46176-8535
Phone (317) 421-1800

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Major Multispecialty Associates CurrentSince Jan 1, 2012 Accepting new patients
Major Multispecialty Associates CurrentSince Jan 1, 2012 Accepting new patients
Major Hospital Past Accepting new patients
Oncology and Hematology Center, P.C. Hematology & Oncology Past Accepting new patients

Locations

1626 E State Road 44
Ste A
Shelbyville, IN 46176
Phone (317) 421-2012

2451 Intelliplex Dr
#210
Shelbyville, IN 46176
Phone (317) 421-1914

2455 Intelliplex Dr
Shelbyville, IN 46176
Phone (317) 421-1800

30 W Rampart St
Ste 200
Shelbyville, IN 46176
Phone (317) 398-0121

Organizations & group practices 4

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.

Hospital & facility affiliations 5

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": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215043200000",
    "number": "1467424531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 W 19TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462021310",
            "telephone_number": "317-924-4022",
            "fax_number": "317-924-4233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W 19TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462021310",
            "telephone_number": "317-924-4022",
            "fax_number": "317-924-4233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "JILL",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-03",
        "last_updated": "2008-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IN",
            "license": "01059916A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PIN",
            "identifier": "4164395",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200505140",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN (ICCC)",
            "identifier": "000000358275",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.