Active NPI
Larry H Stevens, MD
- Surgery Physician
- Fishers, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 01036092A
- Practice address
- 13000 E 136TH St
Fishers, IN 46037-9478 - Phone
- (317) 944-7874
- NPI assigned
- May 31, 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 01036092A | IN | Primary |
Addresses
Primary practice location
13000 E 136TH St
Fishers, IN 46037-9478
Mailing address
250 N Shadeland Ave Ste 635
Indianapolis, IN 46219-4959
Other practice location 1
11700 N Meridian St
Suite 215
Carmel, IN 46032-4656
Phone (317) 688-2647
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100101780 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lsteven2@iuhealth.org |
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
- General Surgery
- Education
- Indiana University School of Medicine, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13000 E 136TH St
Fishers, IN 46037-9478
Phone (317) 678-4155
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 32 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01036092A | IN | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iu Health Medical Group, LLC | Current | Accepting new patients | |
| University Surgeons, Inc. | Surgery | Current | Accepting new patients |
| Indiana University Health Care Associates, Inc. | Current | Accepting new patients | |
| Indiana University Health Care Associates, Inc | Current | Accepting new patients | |
| Major Hospital | Past | Accepting new patients | |
| Center for Surgical Sciences & Trauma, Inc | Surgery | Past | Accepting new patients |
| Indiana Clinic-Neurology, LLC | Past | Accepting new patients | |
| University Medical Diagnostic Associates, Inc. | Past | Accepting new patients | |
| Icem, LLC | Past | Accepting new patients |
Locations
7630 Solutions Ctr
Chicago, IL 60677
5208 Reliable Pkwy
Chicago, IL 60686
11700 N Meridian St
Ste 215
Carmel, IN 46032
Phone (317) 688-2647
11700 N Meridian St
Carmel, IN 46032
Phone (317) 688-2000
13100 E 136th St
Fishers, IN 46037
Phone (317) 678-2000
13000 E 136th St
Fishers, IN 46037
Phone (317) 678-2000
13100 E 136th St
Ste 3600
Fishers, IN 46037
Phone (317) 678-3777
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
1701 N Senate Blvd
Bldg C6
Indianapolis, IN 46202
Phone (913) 962-2000
1633 N Capitol Ave
Ste 622
Indianapolis, IN 46202
Phone (317) 929-5343
250 N Shadeland Ave
Ste 635
Indianapolis, IN 46219
550 University Blvd
Indianapolis, IN 46202
Phone (217) 274-5000
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
1801 Senate Blvd
Ste 635
Indianapolis, IN 46202
Phone (317) 923-7211
1000 S Main St
Tipton, IN 46072
Phone (765) 675-8500
Interoperability endpoints
- lsteven2@direct.iuhealth.org
Ownership & related parties
All facility ownership & control disclosures 4
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Indiana University Health | Hospital | Corporate Director | Jul 1, 2017 |
| Indiana University Health | Hospital | Corporate Director | Jul 1, 2017 |
| Indiana University Health Inc | Home health agency | Corporate Director | Jul 1, 2017 |
| Indiana University Health Hospice | Hospice | Corporate Director | Jul 1, 2017 |
Owned or controlled facilities with NPI records 4
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1144266024
Corporate Director
-
- Psychiatric Hospital Unit
- Indianapolis, IN
- NPI 1164451613
Corporate Director
-
- Community Based Hospice Care Agency
- Indianapolis, IN
- NPI 1861423311
Corporate Director
-
- Home Health Agency
- Indianapolis, IN
- NPI 1548206410
Corporate Director
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.
-
- General Practice Physician
- Indianapolis, IN
- NPI 1326893777
-
- Surgery Physician
- Indianapolis, IN
- NPI 1316966229
-
- General Practice Physician
- Indianapolis, IN
- NPI 1902032832
-
- Registered Dietitian
- Indianapolis, IN
- NPI 1679949002
-
- Surgery Physician
- Indianapolis, IN
- NPI 1225063167
-
- Emergency Medicine Physician
- Indianapolis, IN
- NPI 1467788208
-
- Neurology Physician
- Indianapolis, IN
- NPI 1578792271
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
-
- Internal Medicine Physician
- Indianapolis, IN
- NPI 1861441537
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Carmel, IN
- NPI 1568492916
-
- 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": "1149033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654732800000",
"number": "1548207657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 N SHADELAND AVE STE 635",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462194959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13000 E 136TH ST",
"city": "FISHERS",
"state": "IN",
"postal_code": "460379478",
"telephone_number": "317-944-7874"
}
],
"practiceLocations": [
{
"address_1": "11700 N Meridian St",
"address_2": "Suite 215",
"address_purpose": "LOCATION",
"city": "Carmel",
"state": "IN",
"postal_code": "460324656",
"country_code": "US",
"telephone_number": "317-688-2647",
"fax_number": "317-688-2921",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEVENS",
"first_name": "LARRY",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-31",
"last_updated": "2022-06-09",
"certification_date": "2022-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IN",
"license": "01036092A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100101780",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lsteven2@iuhealth.org",
"affiliation": "N",
"address_1": "13000 E 136th St",
"city": "Fishers",
"state": "IN",
"country_code": "US",
"postal_code": "460379478",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fishers, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.