Active NPI
Amy Jolene Metheny, MD
- Pediatrics Physician
- Indianapolis, IN
National Provider Identifier
1609035815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 01038530A
- Practice address
- 6263 Shelly Way
Indianapolis, IN 46237-9776 - Phone
- (317) 781-1424
- Fax
- (317) 781-1424
- NPI assigned
- Jun 3, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 01038530A | IN | Primary |
Addresses
Primary practice location
6263 Shelly Way
Indianapolis, IN 46237-9776
Mailing address
6263 Shelly Way
Indianapolis, IN 46237-9776
Phone (317) 781-1424
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160524000590 | IN | Order and Referring Only - Pediatric Medicine | 5294024790 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212451200000",
"number": "1609035815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6263 SHELLY WAY",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462379776",
"telephone_number": "317-781-1424",
"fax_number": "317-781-1424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6263 SHELLY WAY",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462379776",
"telephone_number": "317-781-1424",
"fax_number": "317-781-1424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "METHENY",
"first_name": "AMY",
"middle_name": "JOLENE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-03",
"last_updated": "2008-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IN",
"license": "01038530A",
"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 3, 2008; 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.