Active NPI
Nicolas Marcus Priscu, M.D.
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Internal Medicine) Physician
- License
- 01039800A
- Practice address
- 8111 S Emerson Ave FL 5
Indianapolis, IN 46237-8601 - Phone
- (317) 528-8930
- Fax
- (317) 528-8532
- NPI assigned
- Nov 16, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | 01039800A | IN | Primary |
| Internal Medicine Physician | 207R00000X | 01039800A | IN |
Addresses
Primary practice location
8111 S Emerson Ave FL 5
Indianapolis, IN 46237-8601
Mailing address
PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000042357 | Other | IN | MPLAN |
| 000000578061 | Other | IN | ANTHEM |
| 100350980 | Medicaid | IN | |
| 10825775 | Other | IN | CAQH |
| 01039800B | Other | IN | CSR |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | npriscu7706@Direct.FranciscanAlliance.org | Direct |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01039800A | IN | MD | Hospice and Palliative Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franciscan Physician Network | Internal Medicine | Current | Accepting new patients |
| Franciscan Physician Network | Current | Accepting new patients | |
| Major Hospital | Past | Accepting new patients | |
| T.L. Care, Inc. | Past | Accepting new patients |
Locations
2030 Churchman Ave
Beech Grove, IN 46107
Phone (317) 781-2100
1600 Albany St
Beech Grove, IN 46107
Phone (317) 783-8148
1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120
8111 S Emerson Ave
Indianapolis, IN 46237
Phone (317) 528-5261
5230 E Stop 11 Rd
Ste 250
Indianapolis, IN 46237
Phone (317) 528-8921
8111 S Emerson Ave
Fl 5
Indianapolis, IN 46237
Phone (317) 528-6298
150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211
Interoperability endpoints
- npriscu7706@direct.franciscanalliance.org
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Franciscan Hospice Care | Hospice | Contracted Managing Employee (100%) | Mar 1, 2024 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Community Based Hospice Care Agency
- Indianapolis, IN
- NPI 1750311080
Contracted Managing Employee
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1225327984
Internal Medicine
-
- Clinic/Center
- Lafayette, IN
- NPI 1992543250
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
-
- Geriatric Medicine (Internal Medicine) Physician
- Indianapolis, IN
- NPI 1982772935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695859200000",
"number": "1578545554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 781076",
"city": "DETROIT",
"state": "MI",
"postal_code": "482781076",
"telephone_number": "317-528-4800",
"fax_number": "317-865-1479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8111 S EMERSON AVE FL 5",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462378601",
"telephone_number": "317-528-8930",
"fax_number": "317-528-8532"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRISCU",
"first_name": "NICOLAS",
"middle_name": "MARCUS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-16",
"last_updated": "2023-09-28",
"certification_date": "2023-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0002X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": "IN",
"license": "01039800A",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01039800A",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MPLAN",
"identifier": "000000042357",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000578061",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100350980",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "10825775",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CSR",
"identifier": "01039800B",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "npriscu7706@Direct.FranciscanAlliance.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "8111 S Emerson Ave",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462378601",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.