Active NPI
Paul Ndekwe, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 036145486
- Practice address
- 635 Barnhill Dr
Indianapolis, IN 46202 - Phone
- (317) 274-4806
- NPI assigned
- May 16, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 036145486 | IL | Primary |
Addresses
Primary practice location
635 Barnhill Dr
Indianapolis, IN 46202
Mailing address
635 Barnhill Dr
Indianapolis, IN 46202-5126
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
210 W Walnut St
Canton, IL 61520-2444
Phone (309) 647-5240
221 NE Glen Oak Ave
Peoria, IL 61636-0001
Phone (309) 672-4918
2701 17TH St
Rock Island, IL 61201-5351
Phone (309) 779-5286
4500 Utica Ridge Rd
Bettendorf, IA 52722-1626
Phone (563) 742-2724
5409 N Knoxville Ave
Peoria, IL 61614-5069
Phone (309) 691-1000
Hospital & facility affiliations
- Carle Health Methodist Hospital
- Memorial Hospital
- Carle Health Pekin Hospital
- Carle Health Proctor Hospital
- Graham Hospital Association
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Nourishing Direction Inc | Past | Accepting new patients |
Interoperability endpoints
- pndekwe624059@direct.unitypoint.org
Organizations & group practices 3
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Peoria, IL
- NPI 1578597738
IA
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
-
- Clinical Medical Laboratory
- Indianapolis, IN
- NPI 1548575129
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Canton, IL
- NPI 1154117521
-
- Critical Access Hospital
- Carthage, IL
- NPI 1730139031
-
- General Acute Care Hospital
- Peoria, IL
- NPI 1164474755
-
- General Acute Care Hospital
- Pekin, IL
- NPI 1245227479
-
- General Acute Care Hospital
- Peoria, IL
- NPI 1033116876
-
- Rehabilitation Hospital Unit
- Peoria, IL
- NPI 1134826894
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530057600000",
"number": "1598101511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "635 BARNHILL DR",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462025126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "635 BARNHILL DR",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "46202",
"telephone_number": "317-274-4806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NDEKWE",
"first_name": "PAUL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-05-16",
"last_updated": "2018-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "IL",
"license": "036145486",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Jun 27, 2018; 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.