Active NPI
Melissa C Knutson, DO
- Internal Medicine Physician
- Avon, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 02003922A
- Practice address
- 1351 Ronald Reagan Pkwy Ste a
Avon, IN 46123-6764 - Phone
- (317) 217-2919
- Fax
- (317) 217-2916
- NPI assigned
- May 26, 2008
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 02003922A | IN | |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 02003922A | IN | |
| Internal Medicine Physician | 207R00000X | 02003922 | IN | |
| Hospitalist Physician | 208M00000X | 2010-00476 | NC | |
| Internal Medicine Physician | 207R00000X | 02003922A | IN | Primary |
Addresses
Primary practice location
1351 Ronald Reagan Pkwy Ste a
Avon, IN 46123-6764
Mailing address
250 N Shadeland Ave
Indianapolis, IN 46219-4959
Other practice location 1
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258
Other practice location 2
1115 N. Ronald Reagan Parkway
Suite 206
Avon, IN 46123-6911
Phone (317) 272-8050
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000729675 | Other | IN | ANTHEM PIN |
| 201032610 | Medicaid | IN |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | MKNUSTON@direct.iuhealth.org | ||
| Direct Messaging Address | MKNUSTON@direct.iuhealth.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
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Philadelphia College of Osteopathic Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02003922 | IN | MD | Internal Medicine Physician |
| 2010-00476 | NC | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iu Health Medical Group, LLC | Current | Accepting new patients | |
| Indiana University Health Care Associates, Inc | Current | Accepting new patients | |
| Indiana Clinic Critical Care LLC | Internal Medicine | Current | Accepting new patients |
| Major Hospital | Past | Accepting new patients | |
| University Medical Diagnostic Associates, Inc. | Internal Medicine | Past | Accepting new patients |
Locations
5208 Reliable Pkwy
Chicago, IL 60686
2574 Reliable Pkwy
Chicago, IL 60686
1111 Ronald Reagan Pkwy
Avon, IN 46123
Phone (317) 217-3000
1111 Ronald Reagan Pkwy
Ste C1
Avon, IN 46123
1351 Ronald Reagan Pkwy
Ste A
Avon, IN 46123
Phone (317) 217-2919
1115 Ronald Reagan Pkwy
Ste 206
Avon, IN 46123
Phone (317) 217-2888
1801 Senate Blvd
Ste 230
Indianapolis, IN 46202
Phone (317) 962-5280
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
250 N Shadeland Ave
Ste 130
Indianapolis, IN 46219
Phone (317) 962-4836
1701 N Senate Blvd
Bldg C6
Indianapolis, IN 46202
Phone (913) 962-2000
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
Interoperability endpoints
- mknuston@direct.iuhealth.org
- mknutson@direct.iuhealth.org
Organizations & group practices 5
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
-
- Pulmonary Disease Physician
- Indianapolis, IN
- NPI 1417285230
Internal Medicine
-
- General Practice Physician
- Indianapolis, IN
- NPI 1902032832
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
-
- Internal Medicine Physician
- Indianapolis, IN
- NPI 1861441537
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Avon, IN
- NPI 1063443455
-
- Home Health Agency
- Kokomo, IN
- NPI 1346255940
-
- General Acute Care Hospital
- Danville, IN
- NPI 1669475950
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1144266024
-
- Community Based Hospice Care Agency
- Indianapolis, IN
- NPI 1861423311
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1306898960
-
- General Acute Care Hospital
- Avon, IN
- NPI 1851833230
-
- Home Health Agency
- Noblesville, IN
- NPI 1598872939
-
- Critical Access Hospital
- Clinton, IN
- NPI 1306844519
-
- General Acute Care Hospital
- Clinton, IN
- NPI 1093713802
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742169600000",
"number": "1578721783",
"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": "1351 RONALD REAGAN PKWY STE A",
"city": "AVON",
"state": "IN",
"postal_code": "461236764",
"telephone_number": "317-217-2919",
"fax_number": "317-217-2916"
}
],
"practiceLocations": [
{
"address_1": "1701 N Senate Blvd",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462021239",
"country_code": "US",
"telephone_number": "888-484-3258",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1115 N. Ronald Reagan Parkway",
"address_2": "Suite 206",
"address_purpose": "LOCATION",
"city": "Avon",
"state": "IN",
"postal_code": "461236911",
"country_code": "US",
"telephone_number": "317-272-8050",
"fax_number": "317-272-8051",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KNUTSON",
"first_name": "MELISSA",
"middle_name": "C",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-26",
"last_updated": "2025-03-17",
"certification_date": "2025-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "02003922A",
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "IN",
"license": "02003922A",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "02003922",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NC",
"license": "2010-00476",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "02003922A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PIN",
"identifier": "000000729675",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201032610",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "MKNUSTON@direct.iuhealth.org",
"affiliation": "N",
"address_1": "1115 N. Ronald Reagan Parkway",
"address_2": "Suite 206",
"city": "Avon",
"state": "IN",
"country_code": "US",
"postal_code": "461236911",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "MKNUSTON@direct.iuhealth.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1701 N Senate Blvd",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462021239",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Avon, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; 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.