Individual provider Active NPI

David Jonathan Conrad, M.D.

  • Anesthesiology Physician
  • Indianapolis, IN
National Provider Identifier
1548419427
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
01065431A Issued in IN
Practice address
1701 N Senate Blvd
Anesthesia Dept
Indianapolis, IN 46202-1239
Phone
(317) 614-9641
Fax
(317) 614-9655
NPI assigned
Sep 16, 2008
Last updated
Jul 19, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 01065431A IN Primary

Addresses

Primary practice location

1701 N Senate Blvd
Anesthesia Dept
Indianapolis, IN 46202-1239

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dconrad2@direct.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
I20110401000650 IN Practitioner - Anesthesiology 0749464550 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Michigan Medical School, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iceland Anesthesia Management LLCGroup PAC ID 7618372996, 75 clinicians

Practice addresses (Care Compare)

1606 N 7TH St
Terre Haute, IN 47804-2706
Phone (812) 238-7604

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01065431AINMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana Joint Replacement Institute Anesthesiology CurrentSince Jul 23, 2022 Accepting new patients
Iu Health Medical Group, LLC CurrentSince Jul 1, 2025 Accepting new patients
Aas Indiana LLC Anesthesiology CurrentSince Nov 1, 2023 Accepting new patients
Indiana Joint Replacement Institute Anesthesiology CurrentSince Jul 23, 2022 Accepting new patients
Indiana University Health Care Associates, Inc CurrentSince Sep 12, 2021 Accepting new patients
Iceland Anesthesia Management, LLC Anesthesiology CurrentSince Jul 1, 2022 Accepting new patients
University Medical Diagnostic Associates, Inc. Past Accepting new patients

Locations

5208 Reliable Pkwy
Chicago, IL 60686

1316 E 7th St
Auburn, IN 46706
Phone (260) 925-4600

10300 N Illinois St
Ste 1300
Carmel, IN 46290
Phone (317) 225-7084

151 Pennsylvania Pkwy
Carmel, IN 46280
Phone (317) 817-1100

801 S Main St
Clinton, IN 47842
Phone (765) 832-1212

2520 E DuPont Rd
Fort Wayne, IN 46825
Phone (219) 407-8000

4105 Dicke Rd
Fort Wayne, IN 46804
Phone (260) 268-1000

7230 Engle Rd
Ste 100
Fort Wayne, IN 46804
Phone (317) 620-0232

1700 W 10th St
Indianapolis, IN 46222
Phone (317) 397-1718

1701 N Senate Blvd
Bldg C6
Indianapolis, IN 46202
Phone (913) 962-2000

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

2001 W 86th St
Indianapolis, IN 46260
Phone (317) 338-3617

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

250 N Shadeland Ave
Ste 200
Indianapolis, IN 46219
Phone (317) 962-4836

6850 Parkdale Pl
Indianapolis, IN 46254
Phone (317) 329-7209

8501 Harcourt Rd
Indianapolis, IN 46260
Phone (317) 471-4339

8830 S Meridian St
Indianapolis, IN 46217
Phone (317) 865-5029

9660 E Washington St
Ste 200
Indianapolis, IN 46229
Phone (317) 329-7203

441 N Wabash Ave
Marion, IN 46952
Phone (219) 482-4577

2401 W University Ave
Muncie, IN 47303
Phone (765) 747-3111

3300 W Purdue Ave
Muncie, IN 47304
Phone (765) 287-9579

14065 Westinghouse Dr
Noblesville, IN 46060
Phone (317) 620-0232

9460 E 146th St
Noblesville, IN 46060
Phone (317) 583-3741

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

Interoperability endpoints

  • Direct secure messaging: david.conrad.1@22724.direct.athenahealth.com
  • Direct secure messaging: dconrad2@direct.iuhealth.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1221523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1548419427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 N SENATE BLVD",
            "address_2": "ANESTHESIA DEPT",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462021239",
            "telephone_number": "317-614-9641",
            "fax_number": "317-614-9655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONRAD",
        "first_name": "DAVID",
        "middle_name": "JONATHAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-16",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "01065431A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dconrad2@direct.iuhealth.org",
            "affiliation": "N",
            "address_1": "1701 N Senate Blvd",
            "address_2": "Anesthesia Dept",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462021239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.