Active NPI
Andrew M Cougill, MD
- Family Medicine Physician
- Indianapolis, IN
National Provider Identifier
1508959487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01057861
- Practice address
- 10421 E County Road 100 N
Indianapolis, IN 46234-1243 - Phone
- (317) 272-7013
- Fax
- (317) 272-7007
- NPI assigned
- Oct 2, 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01057861 | IN | Primary |
Addresses
Primary practice location
10421 E County Road 100 N
Indianapolis, IN 46234-1243
Mailing address
10421 E County Road 100 N
Indianapolis, IN 46234-1243
Phone (317) 272-7013
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200470630 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | andrew.cougillmd.p2@direct.ahni.nextgenshare.com | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Indiana University School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10421 E County Rd 100
Indianapolis, IN 46234-1243
Phone (317) 272-7013
10995 Allisonville Rd
Suite 100
Fishers, IN 46038-2616
Phone (317) 842-7928
8607 E US Hwy 36
Avon, IN 46123-7960
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 21 |
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01057861 | IN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Health Network of Indiana, LLC | Family Medicine | Past | Accepting new patients |
| Major Hospital | Past | Accepting new patients |
Interoperability endpoints
- andrew.cougillmd.p2@direct.ahni.nextgenshare.com
- acougill210957@direct.optum.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.
-
- Internal Medicine Physician
- Indianapolis, IN
- NPI 1831236272
-
- Family Medicine Physician
- Mulberry, IN
- NPI 1033220017
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Avon, IN
- NPI 1063443455
-
- Home Health Agency
- Kokomo, IN
- NPI 1346255940
-
- General Acute Care Hospital
- Danville, IN
- NPI 1669475950
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1144266024
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616198400000",
"number": "1508959487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10421 E COUNTY ROAD 100 N",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462341243",
"telephone_number": "317-272-7013",
"fax_number": "317-272-7007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10421 E COUNTY ROAD 100 N",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462341243",
"telephone_number": "317-272-7013",
"fax_number": "317-272-7007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COUGILL",
"first_name": "ANDREW",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2021-03-20",
"certification_date": "2021-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01057861",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200470630",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "andrew.cougillmd.p2@direct.ahni.nextgenshare.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "ccda",
"address_1": "10421 E County Road 100 N",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462341243",
"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 Mar 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.