Active NPI
Robert L Deaton, MD
- Obstetrics & Gynecology Physician
- Indianapolis, IN
National Provider Identifier
1487620779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 01025331A
- Practice address
- 8111 Township Line Rd
Indianapolis, IN 46260-2479 - Phone
- (317) 575-7300
- Fax
- (317) 575-7333
- NPI assigned
- Feb 27, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 01025331A | IN | Primary |
Addresses
Primary practice location
8111 Township Line Rd
Indianapolis, IN 46260-2479
Mailing address
11711 Bradford PL
Carmel, IN 46033-3393
Phone (317) 848-6990
Other practice location 1
8081 Township Line Rd Ste 200
Indianapolis, IN 46260-2188
Phone (317) 415-8070
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100382000 | Medicaid | IN |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01025331A | IN | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Major Hospital | Past | Accepting new patients |
Interoperability endpoints
- robert.deaton@ogi.gwaydirect.com
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531958400000",
"number": "1487620779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11711 BRADFORD PL",
"city": "CARMEL",
"state": "IN",
"postal_code": "460333393",
"telephone_number": "317-848-6990",
"fax_number": "317-575-7333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8111 TOWNSHIP LINE RD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462602479",
"telephone_number": "317-575-7300",
"fax_number": "317-575-7333"
}
],
"practiceLocations": [
{
"address_1": "8081 Township Line Rd Ste 200",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462602188",
"country_code": "US",
"telephone_number": "317-415-8070",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEATON",
"first_name": "ROBERT",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-27",
"last_updated": "2018-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "IN",
"license": "01025331A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100382000",
"state": "IN"
}
],
"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 Jul 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.