Individual provider Active NPI

Talessa Powell, MD

  • Family Medicine Physician
  • Greenfield, IN
National Provider Identifier
1629162987
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01049053 Issued in IN
Practice address
300 E Boyd Ave
Suite 100
Greenfield, IN 46140-2816
Phone
(317) 462-5252
Fax
(317) 462-8010
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01049053 IN Primary

Addresses

Primary practice location

300 E Boyd Ave
Suite 100
Greenfield, IN 46140-2816

Mailing address

300 E Boyd Ave
Suite 100
Greenfield, IN 46140-2816
Phone (317) 462-5252

Other identifiers 1

IdentifierTypeStateIssuer
200270310MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address talessa.powellmd.p3@direct.ahni.nextgenshare.com Direct

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
I20100222000205 IN Practitioner - Family Practice 0941344485 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Indiana University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

300 E Boyd Ave
Suite 100
Greenfield, IN 46140-2816
Phone (317) 462-5252

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01049053INMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Health Network of Indiana, LLC Family Medicine Current Accepting new patients
American Health Network of Indiana, LLC CurrentSince Mar 1, 2010 Accepting new patients
American Health Network of Indiana LLC CurrentSince Mar 1, 2010 Accepting new patients
American Health Network of Indiana, LLC Family Medicine Past Accepting new patients
Major Hospital Past Accepting new patients

Locations

10689 N Pennsylvania St
Ste 200
Carmel, IN 46280
Phone (317) 580-6309

10995 Allisonville Rd
Ste 100
Fishers, IN 46038
Phone (317) 842-7928

300 E Boyd Ave
Ste 100
Greenfield, IN 46140
Phone (317) 208-3866

1550 E County Line Rd
#310
Indianapolis, IN 46227
Phone (317) 883-2220

7440 Woodland Dr
Indianapolis, IN 46278
Phone (317) 450-3357

Interoperability endpoints

  • Direct secure messaging: tpowell191363@direct.optum.com

Organizations & group practices 5

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1629162987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E BOYD AVE",
            "address_2": "SUITE 100",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461402816",
            "telephone_number": "317-462-5252",
            "fax_number": "317-462-8010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E BOYD AVE",
            "address_2": "SUITE 100",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461402816",
            "telephone_number": "317-462-5252",
            "fax_number": "317-462-8010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "TALESSA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01049053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200270310",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "talessa.powellmd.p3@direct.ahni.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "300 E Boyd Ave",
            "address_2": "Suite 100",
            "city": "Greenfield",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461402816",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenfield, IN

Sources for this page

Verify at the official NPI Registry.