Individual provider Active NPI

Harlan Eagan, DO

  • Family Medicine Physician
  • Carmel, IN
National Provider Identifier
1619617099
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
02008561A Issued in IN
Practice address
12188A N Meridian St Ste 200
Carmel, IN 46032-4410
Phone
(317) 621-2780
Fax
(317) 621-4472
NPI assigned
Apr 1, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 02008561A IN Primary
Student in an Organized Health Care Education/Training Program 390200000X MO

Addresses

Primary practice location

12188A N Meridian St Ste 200
Carmel, IN 46032-4410

Mailing address

6626 E 75TH St Ste 500
Indianapolis, IN 46250-2890

Other practice location 1

2411 Holmes St
Kansas City, MO 64108-2741
Phone (816) 235-6627

Other practice location 2

12188A N Meridian St Ste 365
Carmel, IN 46032-4407
Phone (317) 621-2780

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
I20250731000333 IN Practitioner - Family Practice 0345757522 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Kansas City University of Physicians and Surgeons, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Physicians of Indiana IncGroup PAC ID 1759416662, 1,569 clinicians

Practice addresses (Care Compare)

12188 A N Meridian St
Suite 365
Carmel, IN 46032-4407
Phone (317) 621-2780

Hospital & facility affiliations

  • Community Hospital North Hospital, Indianapolis, IN, CCN 150169
  • Community Hospital East Hospital, Indianapolis, IN, CCN 150074

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Physicians of Indiana Inc CurrentSince Aug 18, 2025 Accepting new patients
Community Physicians of Indiana Inc Family Medicine CurrentSince Aug 18, 2025 Accepting new patients

Locations

5819 Reliable Pkwy
Chicago, IL 60686

12188A N Meridian St
Ste 200
Carmel, IN 46032
Phone (317) 564-5100

12188A N Meridian St
Ste 365
Carmel, IN 46032
Phone (317) 621-2780

7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444

6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547

Interoperability endpoints

  • Direct secure messaging: heagan632855@ecommunitydirect.com

Organizations & group practices 2

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 2

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": "1648771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1619617099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6626 E 75TH ST STE 500",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12188A N MERIDIAN ST STE 200",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460324410",
            "telephone_number": "317-621-2780",
            "fax_number": "317-621-4472"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2411 Holmes St",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641082741",
            "country_code": "US",
            "telephone_number": "816-235-6627",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12188A N Meridian St Ste 365",
            "address_purpose": "LOCATION",
            "city": "Carmel",
            "state": "IN",
            "postal_code": "460324407",
            "country_code": "US",
            "telephone_number": "317-621-2780",
            "fax_number": "317-621-4472",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EAGAN",
        "first_name": "HARLAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-01",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "02008561A",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MO",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.