Individual provider Active NPI

Appolinia Elyse Frey Stephenson, MD, PHARMD

  • Pediatrics Physician
  • Indianapolis, IN
National Provider Identifier
1467865808
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
01078515 Issued in IN
Practice address
7910 E Washington St Ste 300
Indianapolis, IN 46219-5564
Phone
(317) 355-5437
Fax
(317) 355-9047
NPI assigned
Jun 3, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 01078515A IN
Pediatrics Physician 208000000X 01078515 IN Primary

Addresses

Primary practice location

7910 E Washington St Ste 300
Indianapolis, IN 46219-5564

Mailing address

6626 E 75TH St Ste 500
Indianapolis, IN 46250-2890

Other practice location 1

705 Riley Hospital Dr
Ri 3004
Indianapolis, IN 46202-5109
Phone (317) 948-2700

Other practice location 2

8111 Township Line Rd
Indianapolis, IN 46260
Phone (317) 415-7921

Other names 1

  • Appolinia Elyse Frey Former name

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
I20170620001822 IN Practitioner - Pediatric MedicinePractitioner - Hospitalist 2163646670 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Physicians of Indiana Inc CurrentSince May 17, 2021 Accepting new patients
Community Physicians of Indiana Inc Pediatrics CurrentSince May 17, 2021 Accepting new patients
Carmel Pediatrics, LLC Past Accepting new patients

Locations

5819 Reliable Pkwy
Chicago, IL 60686

7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444

6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547

7910 E Washington St
Ste 300
Indianapolis, IN 46219
Phone (317) 355-9220

Interoperability endpoints

  • Direct secure messaging: astephenson730691@direct.ochin.org
  • Direct secure messaging: astephenson461165@ecommunitydirect.com

Organizations & group practices 3

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": "1401753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1467865808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6626 E 75TH ST STE 500",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7910 E WASHINGTON ST STE 300",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462195564",
            "telephone_number": "317-355-5437",
            "fax_number": "317-355-9047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "705 Riley Hospital Dr",
            "address_2": "RI 3004",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462025109",
            "country_code": "US",
            "telephone_number": "317-948-2700",
            "fax_number": "317-948-2959",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8111 Township Line Rd",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "46260",
            "country_code": "US",
            "telephone_number": "317-415-7921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEPHENSON",
        "first_name": "APPOLINIA",
        "middle_name": "ELYSE FREY",
        "name_prefix": "Dr.",
        "credential": "MD, PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-03",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IN",
            "license": "01078515A",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01078515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "APPOLINIA",
            "last_name": "FREY",
            "middle_name": "ELYSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.