Active NPI
Heidi Cooper
- Physician Assistant
- Carmel, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 10002820A
- Practice address
- 13450 N Meridian St Ste 135
Carmel, IN 46032-1473 - Phone
- (317) 582-9355
- NPI assigned
- Sep 27, 2019
- Last updated
- Feb 7, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Physician Assistant | 363A00000X | 10002820A | IN | Primary |
Addresses
Primary practice location
13450 N Meridian St Ste 135
Carmel, IN 46032-1473
Mailing address
13450 N Meridian St Ste 135
Carmel, IN 46032-1473
Other practice location 1
333 E County Line Rd Ste B
Greenwood, IN 46143-1080
Phone (317) 497-6333
Other practice location 2
4055 Gateway Blvd
Newburgh, IN 47630
Phone (812) 842-2210
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10002820A | Other | IN | IN STATE LICENSE |
| Q00416535 | Other | IN | RAILROAD MEDICARE |
Other names 1
- Heidi Hendryx
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | heidi.cooper.1@7598.direct.athenahealth.com | St. Vincent Medical Group, Inc. |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Indiana Medical College, School of Medicine of Purdue University, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
8433 Harcourt Rd
Suite 100
Indianapolis, IN 46260-2193
Phone (317) 583-7600
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Vincent Medical Group, Inc. | Current | Accepting new patients | |
| Community Physicians of Indiana Inc | Current | Accepting new patients | |
| St. Vincent Medical Group, Inc. | Current | Accepting new patients | |
| Community Physicians of Indiana Inc | Current | Accepting new patients | |
| St. Vincent Medical Group, Inc. | Physician Assistant | Past | Accepting new patients |
| Major Hospital | Past | Accepting new patients | |
| St Vincent Medical Group Inc | Past | Accepting new patients |
Locations
5819 Reliable Pkwy
Chicago, IL 60686
141 W 22nd St
Ste 214
Anderson, IN 46016
Phone (765) 643-7385
13450 N Meridian St
Ste 135
Carmel, IN 46032
Phone (317) 582-9355
13914 Southeastern Pkwy
Ste 203A
Fishers, IN 46037
Phone (317) 415-9556
333 E County Line Rd
Ste B
Greenwood, IN 46143
Phone (317) 497-6333
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
8433 Harcourt Rd
Ste 100
Indianapolis, IN 46260
Phone (317) 583-7702
8550 Naab Rd
Ste 200
Indianapolis, IN 46260
Phone (317) 338-9300
305 S Berkley Rd
#100
Kokomo, IN 46901
Phone (765) 236-8120
Interoperability endpoints
- heidi.cooper.1@7598.direct.athenahealth.com
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.
-
dba Ascension Medical Group St. Vincent
- Orthopaedic Surgery Physician
- Winchester, IN
- NPI 1144513375
Physician Assistant
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1619105244
-
dba Community Physician Network
- Endocrinology, Diabetes & Metabolism Physician
- Carmel, IN
- NPI 1992396337
-
dba Ascension Medical Group St. Vincent
- Rural Health Clinic/Center
- North Vernon, IN
- NPI 1376816975
-
dba Ascension Medical Group St. Vincent
- Internal Medicine Physician
- Carmel, IN
- NPI 1811881527
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
-
- Cardiovascular Disease Physician
- Indianapolis, IN
- NPI 1558686436
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Ascension St Vincent Fishers
- General Acute Care Hospital
- Fishers, IN
- NPI 1881956167
-
dba Ascension St. Vincent Kokomo
- General Acute Care Hospital
- Kokomo, IN
- NPI 1780625442
-
dba Ascension St. Vincent Carmel
- General Acute Care Hospital
- Carmel, IN
- NPI 1639124134
-
dba Ascension St. Vincent Hospital
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1306898960
-
dba Ascension St. Vincent - Avon
- General Acute Care Hospital
- Avon, IN
- NPI 1851833230
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707264000000",
"number": "1558912790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13450 N MERIDIAN ST STE 135",
"city": "CARMEL",
"state": "IN",
"postal_code": "460321473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13450 N MERIDIAN ST STE 135",
"city": "CARMEL",
"state": "IN",
"postal_code": "460321473",
"telephone_number": "317-582-9355"
}
],
"practiceLocations": [
{
"address_1": "333 E County Line Rd Ste B",
"address_purpose": "LOCATION",
"city": "Greenwood",
"state": "IN",
"postal_code": "461431080",
"country_code": "US",
"telephone_number": "317-497-6333",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4055 Gateway Blvd",
"address_purpose": "LOCATION",
"city": "Newburgh",
"state": "IN",
"postal_code": "47630",
"country_code": "US",
"telephone_number": "812-842-2210",
"fax_number": "812-842-4599",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COOPER",
"first_name": "HEIDI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-27",
"last_updated": "2024-02-07",
"certification_date": "2024-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IN",
"license": "10002820A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IN STATE LICENSE",
"identifier": "10002820A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "Q00416535",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "heidi.cooper.1@7598.direct.athenahealth.com",
"affiliation": "Y",
"affiliationName": "St. Vincent Medical Group, Inc.",
"address_1": "13450 N Meridian St Ste 135",
"city": "Carmel",
"state": "IN",
"country_code": "US",
"postal_code": "460321473",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "HEIDI",
"last_name": "HENDRYX",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Carmel, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.