Individual provider Active NPI

Monica L Ott, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Indianapolis, IN
National Provider Identifier
1639361967
Registry record updated Feb 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
01067231A Issued in IN
Practice address
1633 N Capitol Ave
Ste 322
Indianapolis, IN 46202-1476
Phone
(317) 962-2929
Fax
(317) 962-2070
NPI assigned
Aug 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01067231A IN
Family Medicine Physician 207Q00000X MD 41929 TN
Geriatric Medicine (Family Medicine) Physician 207QG0300X 2008028219 MO
Geriatric Medicine (Family Medicine) Physician 207QG0300X 01067231A IN Primary

Addresses

Primary practice location

1633 N Capitol Ave
Ste 322
Indianapolis, IN 46202-1476

Mailing address

250 N Shadeland Ave
Ste 130 - Provider Enrollment
Indianapolis, IN 46219-4959

Other identifiers 2

IdentifierTypeStateIssuer
200955220MedicaidIN
P00831852OtherINRR MEDICARE

Other names 1

  • Monica L Tegeler Former name

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
I20090928000592 IN Practitioner - Geriatric MedicinePractitioner - Family PracticePractitioner - Internal Medicine 7719074111 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Geriatric MedicineAlso: Family Practice
Education
Saint Louis University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Abode Care Partners Al VB LLCGroup PAC ID 1658403704, 48 clinicians

Practice addresses (Care Compare)

11595 N Meridian St
Suite 515
Carmel, IN 46032-6969
Phone (502) 394-2100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01067231AINMDFamily Medicine Physician
MD 41929TNMDFamily Medicine Physician
2008028219MOMDGeriatric Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Abode Care Partners LTC VB, LLC CurrentSince Oct 21, 2024 Accepting new patients
Indiana University Health Care Associates, Inc CurrentSince Jun 1, 2013 Accepting new patients
Abode Care Partners Al VB, LLC CurrentSince Oct 21, 2024 Accepting new patients
Abode Care Partners Al VB, LLC CurrentSince Oct 21, 2024 Accepting new patients
Abode Care Partners LTC VB, LLC CurrentSince Oct 21, 2024 Accepting new patients
Emmaus Community Healthcare, PLLC Past Accepting new patients
University Medical Diagnostic Associates, Inc. Past Accepting new patients
Indiana University Health, Inc Past Accepting new patients
Major Hospital Past Accepting new patients

Locations

5208 Reliable Pkwy
Chicago, IL 60686

11595 N Meridian St
Ste 515
Carmel, IN 46032
Phone (317) 983-1716

720 Eskenazi Ave
Fl 2
Indianapolis, IN 46202
Phone (317) 278-5316

720 Eskenazi Ave
Bldg 5TH
Indianapolis, IN 46202
Phone (317) 880-3818

2732 W Michigan St
Indianapolis, IN 46222
Phone (317) 554-4600

720 Eskenazi Ave
Indianapolis, IN 46202
Phone (317) 880-0000

250 N Shadeland Ave
Ste 130
Indianapolis, IN 46219
Phone (317) 962-4836

5515 W 38th St
Indianapolis, IN 46254
Phone (317) 880-3838

1633 N Capitol Ave
Ste 322
Indianapolis, IN 46202
Phone (317) 962-2929

1001 W 10th St
Indianapolis, IN 46202
Phone (317) 630-6175

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

720 Eskenazi Ave
Fl 5
Indianapolis, IN 46202
Phone (317) 880-6000

2209 John R Wooden Dr
Martinsville, IN 46151
Phone (765) 342-3364

805 N Whittington Pkwy
Ste 400
Louisville, KY 40222
Phone (502) 272-3438

805 N Whittington Pkwy
Northfield, KY 40222
Phone (502) 627-7000

Organizations & group practices 10

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 1

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": "1186704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518480000000",
    "number": "1639361967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "address_2": "STE 130 - PROVIDER ENROLLMENT",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1633 N CAPITOL AVE",
            "address_2": "STE 322",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462021476",
            "telephone_number": "317-962-2929",
            "fax_number": "317-962-2070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTT",
        "first_name": "MONICA",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-10",
        "last_updated": "2018-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01067231A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD 41929",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "MO",
            "license": "2008028219",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "IN",
            "license": "01067231A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200955220",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00831852",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MONICA",
            "last_name": "TEGELER",
            "middle_name": "L",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.