Active NPI
Douglas S Paget, MD
- Vascular Surgery Physician
- Indianapolis, IN
National Provider Identifier
1629097019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 01050200A
- Practice address
- 1801 Senate Blvd
Suite 755
Indianapolis, IN 46202-1228 - Phone
- (317) 923-1787
- Fax
- (317) 583-7601
- NPI assigned
- Jul 18, 2006
- 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 |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 01050200A | IN | Primary |
Addresses
Primary practice location
1801 Senate Blvd
Suite 755
Indianapolis, IN 46202-1228
Mailing address
1801 Senate Blvd
Suite 755
Indianapolis, IN 46202-1228
Phone (317) 923-1787
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01050200A | IN | MD | Vascular Surgery Physician |
| 49327 | CA | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Care Labs, LLC | Past | Accepting new patients | |
| Major Hospital | Past | Accepting new patients | |
| St. Vincent Medical Group, Inc. | Past | Accepting new patients |
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.
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
-
- Internal Medicine Physician
- Carmel, IN
- NPI 1811881527
-
- Vascular & Interventional Radiology Physician
- Indianapolis, IN
- NPI 1215978523
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211241600000",
"number": "1629097019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 SENATE BLVD",
"address_2": "SUITE 755",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462021228",
"telephone_number": "317-923-1787",
"fax_number": "317-583-7601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 SENATE BLVD",
"address_2": "SUITE 755",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462021228",
"telephone_number": "317-923-1787",
"fax_number": "317-583-7601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAGET",
"first_name": "DOUGLAS",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2008-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "IN",
"license": "01050200A",
"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 May 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.