Individual provider Active NPI

Spencer Deig, DO

  • Family Medicine Physician
  • Indianapolis, IN
National Provider Identifier
1518497981
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
02005856A Issued in IN
Practice address
8240 Naab Rd Ste 416
Indianapolis, IN 46260-0012
Phone
(317) 306-5588
NPI assigned
Jun 18, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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 02005856A IN Primary

Addresses

Primary practice location

8240 Naab Rd Ste 416
Indianapolis, IN 46260-0012

Mailing address

8240 Naab Rd Ste 416
Indianapolis, IN 46260-0012
Phone (317) 306-5588

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
I20220927003107 IN Practitioner - Family Practice 6901175397 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
02005856AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Magnificat Family Medicine, LLC Family Medicine CurrentSince Feb 1, 2024 Accepting new patients
Community Physicians of Indiana Inc Family Medicine CurrentSince Oct 17, 2022 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Oct 17, 2022 Accepting new patients
Major Hospital Past Accepting new patients

Locations

5819 Reliable Pkwy
Chicago, IL 60686

10122 E 10th St
Ste 100
Indianapolis, IN 46229
Phone (317) 355-5717

8240 Naab Rd
Ste 416
Indianapolis, IN 46260
Phone (317) 306-5588

2040 N Shadeland Ave
Ste 300
Indianapolis, IN 46219
Phone (317) 355-3232

6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547

7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444

Interoperability endpoints

  • Direct secure messaging: sdeig605591@direct.ochin.org

Organizations & group practices 4

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": "1497744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1518497981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8240 NAAB RD STE 416",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462600012",
            "telephone_number": "317-306-5588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8240 NAAB RD STE 416",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462600012",
            "telephone_number": "317-306-5588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEIG",
        "first_name": "SPENCER",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-18",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "02005856A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.