Individual provider Active NPI

Jennifer Marie Nottage, MD

  • Cornea and External Diseases Specialist Physician
  • Carmel, IN
National Provider Identifier
1588688741
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cornea and External Diseases Specialist PhysicianTaxonomy code 207WX0120X
License
01082642A Issued in IN
Practice address
10300 N Illinois St
Carmel, IN 46290-1166
Phone
(317) 817-1765
NPI assigned
Jul 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X D0064859 MD
Cornea and External Diseases Specialist Physician 207WX0120X 01082642A IN Primary

Addresses

Primary practice location

10300 N Illinois St
Carmel, IN 46290-1166

Mailing address

10300 N Illinois St
Carmel, IN 46290-1166
Phone (317) 817-1765

Other practice location 1

11220 Illinois St Ste 240
Carmel, IN 46032-8887
Phone (317) 817-1765

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
I20190731002389 IN Practitioner - Ophthalmology 4789716051 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Missouri, Kansas City, School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10300 N Illinois St
Suite 1040
Carmel, IN 46290-1167
Phone (317) 817-1765

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery113

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01082642AINMDCornea and External Diseases Specialist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Cornea Associates, LLC Ophthalmology CurrentSince Sep 1, 2019 Accepting new patients
Cheyenne Ocular Surgery Past Accepting new patients
Corneal Associates, PC Ophthalmology Past Accepting new patients
Vantage Eyecare, LLC Past Accepting new patients

Locations

10300 N Illinois St
Ste 1040
Carmel, IN 46290
Phone (317) 817-1765

11220 Illinois St
Ste 240
Carmel, IN 46032
Phone (317) 805-4509

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.

Hospital & facility affiliations 1

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1588688741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10300 N ILLINOIS ST",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "462901166",
            "telephone_number": "317-817-1765",
            "fax_number": "317-817-1767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10300 N ILLINOIS ST",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "462901166",
            "telephone_number": "317-817-1765"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11220 Illinois St Ste 240",
            "address_purpose": "LOCATION",
            "city": "Carmel",
            "state": "IN",
            "postal_code": "460328887",
            "country_code": "US",
            "telephone_number": "317-817-1765",
            "fax_number": "317-817-1767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOTTAGE",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D0064859",
            "primary": false
        },
        {
            "code": "207WX0120X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Cornea and External Diseases Specialist",
            "state": "IN",
            "license": "01082642A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.