Active NPI
Mark R Rigby, M.D,, PH.D.
- Pediatric Critical Care Medicine Physician
- Indianapolis, IN
National Provider Identifier
1477516508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- License
- 01069974
- Practice address
- 705 Riley Hospital Dr
Roc 4270
Indianapolis, IN 46202-5109 - Phone
- (317) 274-7208
- Fax
- (317) 944-5791
- NPI assigned
- Apr 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Critical Care Medicine Physician | 2080P0203X | 01069974 | IN | Primary |
| Critical Care Medicine (Anesthesiology) Physician | 207LC0200X | 01069974 | IN |
Addresses
Primary practice location
705 Riley Hospital Dr
Roc 4270
Indianapolis, IN 46202-5109
Mailing address
PO Box 1026
Indianapolis, IN 46206-1026
Phone (317) 274-1201
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201029940 | Medicaid | IN | |
| 1021364 | Medicaid | VT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01069974 | IN | MD | Pediatric Critical Care Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366848000000",
"number": "1477516508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1026",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462061026",
"telephone_number": "317-274-1201",
"fax_number": "317-278-9905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 RILEY HOSPITAL DR",
"address_2": "ROC 4270",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462025109",
"telephone_number": "317-274-7208",
"fax_number": "317-944-5791"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIGBY",
"first_name": "MARK",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "M.D,, PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-10",
"last_updated": "2013-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "IN",
"license": "01069974",
"primary": true
},
{
"code": "207LC0200X",
"taxonomy_group": "",
"desc": "Anesthesiology, Critical Care Medicine",
"state": "IN",
"license": "01069974",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201029940",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1021364",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.