Individual provider Active NPI

Steffany R Morton, M.D.

  • Psychiatry Physician
  • Indianapolis, IN
National Provider Identifier
1639512197
Registry record updated Dec 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
01090163A Issued in IN
Practice address
1099 N Meridian St Ste 800
Indianapolis, IN 46204-1046
Phone
(844) 980-1862
NPI assigned
Apr 15, 2013
Last updated
Dec 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 124527 OH
Psychiatry Physician 2084P0800X 01090163A IN Primary

Addresses

Primary practice location

1099 N Meridian St Ste 800
Indianapolis, IN 46204-1046

Mailing address

1099 N Meridian St Ste 800
Indianapolis, IN 46204-1046

Other names 1

  • Steffany R Bagnolo Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20171205003092 OH Practitioner - Psychiatry 9739446428 Reassigns benefits to 1 organization
I20260602000291 IN Practitioner - PsychiatryPractitioner - Neurology 9739446428 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Neurology
Education
Northeastern Ohio University College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4181 E 96TH St
Indianapolis, IN 46240-3814

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01090163AINMDPsychiatry Physician
124527OHMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coleman Professional Services, Inc. Psychiatry CurrentSince Nov 1, 2017 Accepting new patients
Volunteers of America of Indiana, Inc Past Accepting new patients
Volunteers of America of Indiana, Inc Psychiatry Past Accepting new patients

Locations

5982 Rhodes Rd
Kent, OH 44240
Phone (330) 676-6875

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1365984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1639512197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1099 N MERIDIAN ST STE 800",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462041046",
            "fax_number": "330-426-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1099 N MERIDIAN ST STE 800",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462041046",
            "telephone_number": "844-980-1862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORTON",
        "first_name": "STEFFANY",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-15",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "124527",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "01090163A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEFFANY",
            "last_name": "BAGNOLO",
            "middle_name": "R",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.