Individual provider Active NPI

Andrew A Johnstone, M.D.

  • Family Medicine Physician
  • Indianapolis, IN
National Provider Identifier
1508831140
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01035232A Issued in IN
Practice address
3711 E Southport Rd
Indianapolis, IN 46227-7874
Phone
(317) 884-3725
Fax
(317) 533-5660
NPI assigned
Feb 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01035232A IN Primary

Addresses

Primary practice location

3711 E Southport Rd
Indianapolis, IN 46227-7874

Mailing address

3711 E Southport Rd
Indianapolis, IN 46227-7874
Phone (317) 884-3725

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
I20220408001551 IN Order and Referring Only - Family PracticePractitioner - Family Practice 5991899205

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
58519MAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cheryl Swearingan CurrentSince Aug 27, 2023 Accepting new patients
Centrality Behavior Support Training LLC CurrentSince Aug 27, 2023 Accepting new patients
Major Hospital Past Accepting new patients

Locations

7855 S Emerson Ave
Ste H
Indianapolis, IN 46237
Phone (317) 300-0370

3711 E Southport Rd
Indianapolis, IN 46227
Phone (317) 796-6668

Interoperability endpoints

  • Direct secure messaging: andrew.johnstone@509266988826628.direct.elationemr.com

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1508831140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3711 E SOUTHPORT RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462277874",
            "telephone_number": "317-884-3725",
            "fax_number": "317-533-5660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3711 E SOUTHPORT RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462277874",
            "telephone_number": "317-884-3725",
            "fax_number": "317-533-5660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTONE",
        "first_name": "ANDREW",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01035232A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.