Individual provider Active NPI

Ashley Caroline McCuen, DO

  • Nephrology Physician
  • Indianapolis, IN
National Provider Identifier
1528591120
Registry record updated Sep 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
02006758A Issued in IN
Practice address
9011 N Meridian St Ste 225
Indianapolis, IN 46260-5365
Phone
(317) 574-4747
NPI assigned
Apr 10, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 02006758A IN Primary

Addresses

Primary practice location

9011 N Meridian St Ste 225
Indianapolis, IN 46260-5365

Mailing address

9011 N Meridian St Ste 225
Indianapolis, IN 46260-5365
Phone (317) 574-4747

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
I20220725001983 IN Practitioner - Nephrology 2668743014 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
02006758AINMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana Nephrology and Internal Medicine, P.C. Nephrology CurrentSince May 23, 2022 Accepting new patients

Locations

9011 N Meridian St
Ste 225
Indianapolis, IN 46260
Phone (317) 574-4747

8330 Naab Rd
Ste 234
Indianapolis, IN 46260
Phone (317) 875-0084

2350 S Dixon Rd
Kokomo, IN 46902
Phone (765) 453-0052

2350 S Dixon Rd
Ste 430
Kokomo, IN 46902
Phone (765) 319-3681

165 Sheridan Rd
Noblesville, IN 46060
Phone (317) 770-8900

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.

NPI Registry JSON

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

{
    "created_epoch": "1491782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1528591120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9011 N MERIDIAN ST STE 225",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462605365",
            "telephone_number": "317-574-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9011 N MERIDIAN ST STE 225",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462605365",
            "telephone_number": "317-574-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCUEN",
        "first_name": "ASHLEY",
        "middle_name": "CAROLINE",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-10",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IN",
            "license": "02006758A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.