Individual provider Active NPI

Larry H Stevens, MD

  • Surgery Physician
  • Fishers, IN
National Provider Identifier
1548207657
Registry record updated Jun 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
01036092A Issued in IN
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

Updated by the provider on Jun 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100101780MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041222000638 IN Practitioner - General Surgery 7810955879 Reassigns benefits to 3 organizations

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
University Surgeons IncGroup PAC ID 9436171949, 126 clinicians
Iu Health Medical Group LLCGroup PAC ID 9638617913, 4,382 clinicians

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

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)32
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01036092AINMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Iu Health Medical Group, LLC CurrentSince Jul 1, 2025 Accepting new patients
University Surgeons, Inc. Surgery CurrentSince May 2, 2022 Accepting new patients
Indiana University Health Care Associates, Inc. CurrentSince Sep 1, 2012 Accepting new patients
Indiana University Health Care Associates, Inc CurrentSince Sep 1, 2012 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 PastSince Aug 1, 2010 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

  • Direct secure messaging: 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.

FacilityTypeRoleSince
Indiana University HealthIndianapolis, IN, CCN 150056 Hospital Corporate Director Jul 1, 2017
Indiana University HealthIndianapolis, IN, CCN 15S056 Hospital Corporate Director Jul 1, 2017
Indiana University Health IncIndianapolis, IN, CCN 157158 Home health agency Corporate Director Jul 1, 2017
Indiana University Health HospiceIndianapolis, IN, CCN 151511 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.

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.