Individual provider Active NPI

Thomas Joseph Novak Jr., M.D.

  • Anesthesiology Physician
  • Danville, IN
National Provider Identifier
1477522084
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
01053388 Issued in IN
Practice address
1000 E Main St
Danville, IN 46122-1948
Phone
(317) 745-4451
Fax
(317) 718-6740
NPI assigned
Mar 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 01053388 IN Primary

Addresses

Primary practice location

1000 E Main St
Danville, IN 46122-1948

Mailing address

1000 E Main St
Danville, IN 46122-1948
Phone (317) 745-4451

Other practice location 1

8040 Clearvista Pkwy
Indianapolis, IN 46256-5630
Phone (317) 567-2179 ext. 101

Other identifiers 1

IdentifierTypeStateIssuer
200428390MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tnovak314387@direct-PRD.stelizabeth.com

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
I20040727000014 IN Practitioner - Anesthesiology 6002886363 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Indiana University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hendricks County HospitalGroup PAC ID 4880505528, 341 clinicians

Practice addresses (Care Compare)

1000 E Main St
Danville, IN 46122-1948

8244 E US Hwy 36
Avon, IN 46123-9688

8244 E US Hwy 36 1100
Hendricks Community Hospital
Avon, IN 46123-9627
Phone (317) 272-7500

8244 E US Hwy 36 1320
Avon Internal Medicine
Avon, IN 46123-9688
Phone (317) 272-7519

Hospital & facility affiliations

  • Hendricks Regional Health Hospital, Danville, IN, CCN 150005

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01053388INMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hendricks County Hospital Anesthesiology CurrentSince Apr 1, 2020 Accepting new patients
Community Anesthesia Associates, PC Anesthesiology CurrentSince Jan 1, 2007 Accepting new patients
Hendricks County Hospital Current Accepting new patients
Hendricks County Hospital CurrentSince Apr 1, 2020 Accepting new patients
Hendricks County Hospital Past Accepting new patients
Bloomington Anesthesiologists PC Anesthesiology PastSince Jun 4, 2023 Accepting new patients
Hendricks County Hospital Past Accepting new patients

Locations

8244 E US Highway 36
Ste 1340
Avon, IN 46123
Phone (317) 520-5510

8244 E US Highway 36
Ste 1100
Avon, IN 46123
Phone (317) 272-7500

1000 E Main St
Danville, IN 46122
Phone (317) 745-3420

8040 Clearvista Pkwy
Indianapolis, IN 46256
Phone (317) 254-5740

1500 N Ritter Ave
Indianapolis, IN 46219
Phone (317) 355-5041

1100 Southfield Dr
Ste 1370
Plainfield, IN 46168
Phone (317) 837-5570

Interoperability endpoints

  • FHIR API: https://sehproxy.stelizabeth.com/arr-fhir/api/FHIR/R4
  • Direct secure messaging: tnovak314387@direct-prd.stelizabeth.com

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614556800000",
    "number": "1477522084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E MAIN ST",
            "city": "DANVILLE",
            "state": "IN",
            "postal_code": "461221948",
            "telephone_number": "317-745-4451",
            "fax_number": "317-718-6740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E MAIN ST",
            "city": "DANVILLE",
            "state": "IN",
            "postal_code": "461221948",
            "telephone_number": "317-745-4451",
            "fax_number": "317-718-6740"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8040 Clearvista Pkwy",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462565630",
            "country_code": "US",
            "telephone_number": "317-567-2179 x101",
            "fax_number": "317-567-2191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOVAK",
        "first_name": "THOMAS",
        "middle_name": "JOSEPH",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "01053388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200428390",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tnovak314387@direct-PRD.stelizabeth.com",
            "affiliation": "N",
            "address_1": "1000 E Main St",
            "city": "Danville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461221948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Danville, IN

Sources for this page

Verify at the official NPI Registry.