Individual provider Active NPI

Michael Conley, MD

  • Diagnostic Radiology Physician
  • Indianapolis, IN
National Provider Identifier
1487697470
Registry record updated Oct 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
01056464 Issued in IN
Practice address
5901 Technology Center Dr
Indianapolis, IN 46278-6013
Phone
(317) 328-4777
Fax
(317) 715-9965
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 01056464 IN Primary

Addresses

Primary practice location

5901 Technology Center Dr
Indianapolis, IN 46278-6013

Mailing address

5901 Technology Center Dr
Indianapolis, IN 46278-6013
Phone (317) 328-5050

Other identifiers 1

IdentifierTypeStateIssuer
200522910MedicaidIN

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
I20050713000178 IN Practitioner - Diagnostic Radiology 8123054996 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Indiana University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unity Healthcare LLCGroup PAC ID 0244123362, 62 clinicians

Practice addresses (Care Compare)

1411 S Creasy LN
Suite 130
Lafayette, IN 47905-7433
Phone (765) 447-7447

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01056464INMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Unity Healthcare, LLC CurrentSince Dec 15, 2021 Accepting new patients
Unity Healthcare, LLC Diagnostic Radiology Current Accepting new patients
Advanced Medical Imaging LLC Diagnostic Radiology CurrentSince Jan 1, 2023 Accepting new patients
Unity Healthcare LLC CurrentSince Dec 15, 2021 Accepting new patients
Madison County Imaging PC Diagnostic Radiology PastSince Apr 1, 2010 Accepting new patients
Rush Memorial Hospital Past Accepting new patients
Indiana Radiology Partners, Inc Diagnostic Radiology Past Accepting new patients
Indiana University Radiology Associates, Inc. Diagnostic Radiology Past Accepting new patients

Locations

2008 W Boulevard
Kokomo, IN 46902
Phone (317) 849-1379

1321 Unity Pl
Ste B
Lafayette, IN 47905
Phone (317) 803-1010

1411 S Creasy Ln
Ste 130
Lafayette, IN 47905
Phone (765) 447-7447

3801 Amelia Ave
Ste A
Lafayette, IN 47905

1345 Unity Pl
Ste 235
Lafayette, IN 47905
Phone (765) 446-5065

152 Sagamore Pkwy W
West Lafayette, IN 47906
Phone (765) 423-6556

Organizations & group practices 9

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475452800000",
    "number": "1487697470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 TECHNOLOGY CENTER DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462786013",
            "telephone_number": "317-328-5050",
            "fax_number": "317-328-5053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 TECHNOLOGY CENTER DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462786013",
            "telephone_number": "317-328-4777",
            "fax_number": "317-715-9965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONLEY",
        "first_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2016-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "01056464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200522910",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.