Active NPI
Diana M Patterson, MD
- Obstetrics & Gynecology Physician
- Indianapolis, IN
National Provider Identifier
1477865483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 01073698A
- Practice address
- 7120 Clearvista Dr Ste 4000
Indianapolis, IN 46256-1774 - Phone
- (317) 621-7444
- Fax
- (317) 621-3150
- NPI assigned
- Jul 7, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 01073698A | IN | Primary |
Addresses
Primary practice location
7120 Clearvista Dr Ste 4000
Indianapolis, IN 46256-1774
Mailing address
6626 E 75TH St Ste 500
Indianapolis, IN 46250-2890
Other practice location 1
2518 E DuPont Rd
Fort Wayne, IN 46825-1675
Phone (260) 432-4400
Other practice location 2
2518 E DuPont Rd
Fort Wayne, IN 46825-1675
Phone (260) 432-4400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201233840 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dpatterson311978@eCommunityDirect.com | Community Physicians of Indiana Inc |
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
Interoperability endpoints
- dpatterson311978@ecommunitydirect.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1477865483",
"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": "7120 CLEARVISTA DR STE 4000",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462561774",
"telephone_number": "317-621-7444",
"fax_number": "317-621-3150"
}
],
"practiceLocations": [
{
"address_1": "2518 E DuPont Rd",
"address_purpose": "LOCATION",
"city": "Fort Wayne",
"state": "IN",
"postal_code": "468251675",
"country_code": "US",
"telephone_number": "260-432-4400",
"fax_number": "260-969-6898",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2518 E DuPont Rd",
"address_purpose": "LOCATION",
"city": "Fort Wayne",
"state": "IN",
"postal_code": "468251675",
"country_code": "US",
"telephone_number": "260-432-4400",
"fax_number": "260-969-6898",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATTERSON",
"first_name": "DIANA",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-07",
"last_updated": "2023-11-27",
"certification_date": "2020-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "IN",
"license": "01073698A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201233840",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dpatterson311978@eCommunityDirect.com",
"affiliation": "Y",
"affiliationName": "Community Physicians of Indiana Inc",
"address_1": "7120 Clearvista Dr Ste 4000",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462561774",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.