Individual provider Active NPI

Carina Thea Marcella David, MD

  • Family Medicine Physician
  • Indianapolis, IN
National Provider Identifier
1629424254
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01081787A Issued in IN
Practice address
1520 N Senate Ave
RM 230
Indianapolis, IN 46202-2213
Phone
(317) 962-0897
NPI assigned
May 12, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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 01081787A IN Primary

Addresses

Primary practice location

1520 N Senate Ave
RM 230
Indianapolis, IN 46202-2213

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other practice location 1

7140 E Washington St Ste 100
Indianapolis, IN 46219-6719
Phone (317) 832-1780

Other identifiers 3

IdentifierTypeStateIssuer
201372730MedicaidIN
P02456765OtherINRAILROAD PTAN
068010526OtherINMEDICARE PTAN

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address cdavid3@direct.iuhealth.org
Direct Messaging Address cdavid3@direct.iuhealth.org
Direct Messaging Address cdavid@direct.iuhealth.org 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
I20190821001203 IN Practitioner - Family Practice 9133411846 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Iu Health Medical Group LLCGroup PAC ID 9638617913, 4,382 clinicians

Practice addresses (Care Compare)

1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Family Physicians, Inc. Family Medicine CurrentSince Sep 1, 2019 Accepting new patients
University Family Physicians, Inc. CurrentSince Sep 1, 2019 Accepting new patients
Iu Health Medical Group, LLC CurrentSince Jul 1, 2025 Accepting new patients
Indiana University Health Care Associates, Inc CurrentSince Jan 1, 2024 Accepting new patients
Major Hospital Past Accepting new patients

Locations

5208 Reliable Pkwy
Chicago, IL 60686

7216 Solutions Ctr
Chicago, IL 60677

250 N Shadeland Ave
Ste 200
Indianapolis, IN 46219
Phone (317) 962-4836

550 University Blvd
#3005
Indianapolis, IN 46202
Phone (317) 944-2167

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

1520 N Senate Ave
Rm 230
Indianapolis, IN 46202
Phone (317) 962-0857

7140 E Washington St
Ste 100
Indianapolis, IN 46219
Phone (317) 812-2760

550 University Blvd
Ste 3004
Indianapolis, IN 46202

1520 N Senate Ave
Indianapolis, IN 46202
Phone (317) 962-0857

7140 E Washington St
Indianapolis, IN 46219
Phone (317) 812-2760

1701 N Senate Blvd
Bldg C6
Indianapolis, IN 46202
Phone (913) 962-2000

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

Interoperability endpoints

  • Direct secure messaging: cdavid@direct.iuhealth.org

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 7

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": "1463011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1629424254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 N SENATE AVE",
            "address_2": "RM 230",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462022213",
            "telephone_number": "317-962-0897"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7140 E Washington St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462196719",
            "country_code": "US",
            "telephone_number": "317-832-1780",
            "fax_number": "317-832-1781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVID",
        "first_name": "CARINA",
        "middle_name": "THEA MARCELLA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-12",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01081787A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201372730",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD PTAN",
            "identifier": "P02456765",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "068010526",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cdavid3@direct.iuhealth.org",
            "affiliation": "N",
            "address_1": "1520 N Senate Ave",
            "address_2": "Rm 230",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462022213",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cdavid3@direct.iuhealth.org",
            "affiliation": "N",
            "address_1": "1520 N Senate Ave",
            "address_2": "Rm 230",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462022213",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cdavid@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "7140 E Washington St Ste 100",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462196719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.