Mary Elmasry, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

12013843A Issued in IN

Practice address

9443 E 38TH St
Indianapolis, IN 46235-2132

Phone

(317) 890-2100

Fax

(317) 890-2171

NPI assigned

Jul 9, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Indiana Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Indianapolis, IN
  • NPI 1598776742

  Dentist

  Medicare reassignment NPD
• The Health and Hospital Corporation of Marion County

  • Nurse Practitioner
  • Indianapolis, IN
  • NPI 1104027879
  Medicare reassignment
• Indiana Health Centers Inc

  • Federally Qualified Health Center (FQHC)
  • Indianapolis, IN
  • NPI 1942303086
  NPD
• Indiana Health Centers, Inc

  • Federally Qualified Health Center (FQHC)
  • Seymour, IN
  • NPI 1124434469
  NPD (past)
• Indiana Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • South Bend, IN
  • NPI 1174626014

  Dentist

  NPD (past)
• Indiana Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Kokomo, IN
  • NPI 1811007800

  Dentist

  NPD (past)

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

{
    "created_epoch": "1657324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1477286193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 637764",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452637764",
            "telephone_number": "317-880-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9443 E 38TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462352132",
            "telephone_number": "317-890-2100",
            "fax_number": "317-890-2171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3118 S LaFountain St",
            "address_purpose": "LOCATION",
            "city": "Kokomo",
            "state": "IN",
            "postal_code": "469023710",
            "country_code": "US",
            "telephone_number": "765-864-4160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELMASRY",
        "first_name": "MARY",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-09",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12013843A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIANA STATE LICENSE",
            "identifier": "12013843A",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "melmasry154142@direct.eskenazihealth.edu",
            "affiliation": "N",
            "address_1": "9443 E 38th St",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462352132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Wayne M. Ellis, MD
• Kaysee Mae Ellrich, OTR
• Cierra Ellson
• Susannah G Ellsworth, MD
• Ravindhra G Elluru, MD, PHD
• Rose Laure Elmond
• Eboni Elmore
• Laurie Elmore, RD
• Michael Francis Elmore, M.D.
• Hunter Luke Elms, MD

• Dentist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.