Active NPI
Robert S Joseph, M.D.
- Internal Medicine Physician
- Indianapolis, IN
National Provider Identifier
1609870120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 01031265A
- Practice address
- 7250 Clearvista Dr
Suite 120
Indianapolis, IN 46256-4640 - Phone
- (317) 621-5676
- Fax
- (317) 621-5678
- NPI assigned
- Jun 13, 2005
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 01031265A | IN | Primary |
Addresses
Primary practice location
7250 Clearvista Dr
Suite 120
Indianapolis, IN 46256-4640
Mailing address
920 N Shadeland Ave
Suite G1
Indianapolis, IN 46219-4817
Phone (317) 355-9783
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100354210 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01031265A | IN | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Network, Inc. | Past | Accepting new patients | |
| Major Hospital | Past | Accepting new patients | |
| Community Health Network, Inc | Past | Accepting new patients |
Interoperability endpoints
- rjosephmd9571@ecommunitydirect.com
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.
-
dba Community Behavioral Professionals
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Indianapolis, IN
- NPI 1922336262
-
dba Community Hospital North
- Psychiatric Hospital Unit
- Indianapolis, IN
- NPI 1679545966
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1514419200000",
"number": "1609870120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 N SHADELAND AVE",
"address_2": "SUITE G1",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462194817",
"telephone_number": "317-355-9783",
"fax_number": "317-355-9760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7250 CLEARVISTA DR",
"address_2": "SUITE 120",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462564640",
"telephone_number": "317-621-5676",
"fax_number": "317-621-5678"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOSEPH",
"first_name": "ROBERT",
"middle_name": "S",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-13",
"last_updated": "2017-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01031265A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100354210",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
- Genevieve Evrille Mary Joseph-Mofford, MD
- Beena M Joseph, MD
- Cynthia Joseph
- Kristen Joseph, PSY.D.
- Nathan Joseph
- Sharon Joseph, MD
- Sophia Joseph, MD
- Josephson-Wallack-Munshower Neurology PC (JWM Neurology PC)
- Josephson-Wallack-Munshower Neurology PC (JWM Neurology PC)
- Josephson-Wallack-Munshower Neurology PC (JWM Neurology PC)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.