Mark Rollins, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01056301A Issued in IN

Practice address

1011 Main Street
Suite 140
Indianapolis, IN 46224-6970

Phone

(317) 957-9000

NPI assigned

Nov 9, 2005

Last updated

Nov 27, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mrollins62810@ecommunitydirect.com

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.

• The Damien Center Inc

  • Federally Qualified Health Center (FQHC)
  • Indianapolis, IN
  • NPI 1821172248

  Family Medicine

  Medicare reassignment NPD
• Indianapolis Osteopathic Hospital Inc.

  dba Westview Hospital Physicians

  • Family Medicine Physician
  • Indianapolis, IN
  • NPI 1366589467
  NPD (past)
• Low Cost RX Inc

  • Community/Retail Pharmacy
  • Indianapolis, IN
  • NPI 1194876094
  NPD (past)
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)
• Mindgent Healthcare Clinics, LLC

  • Nurse Practitioner
  • Indianapolis, IN
  • NPI 1598716524
  NPD (past)
• Westmed, LLC

  • Durable Medical Equipment & Medical Supplies
  • Carmel, IN
  • NPI 1235521030
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1598746240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6626 E 75TH ST",
            "address_2": "SUITE 500",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 MAIN STREET",
            "address_2": "SUITE 140",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462246970",
            "telephone_number": "317-957-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLLINS",
        "first_name": "MARK",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-09",
        "last_updated": "2023-11-27",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01056301A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS INDIANA",
            "identifier": "000000548671",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200385470",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "01056301",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mrollins62810@eCommunityDirect.com",
            "affiliation": "Y",
            "affiliationName": "INDIANAPOLIS OSTEOPATHIC HOSPITAL INC.",
            "address_1": "1011 Main Street",
            "address_2": "Suite 140",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462246970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shirley Roll, CONSULTANT
• Diamond Rolle, RBT
• Dierdra H Roller
• Lisa Roller, OTR, CHT
• Jessica Rollins
• Marlon R Rollins, LMHC
• Anne E Rollison, OTR
• Rafael Jose Rolon Rivera, MD
• Ryan Rolves, PHARMD
• Charles F Rom

• Family Medicine Physician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.