Individual provider Active NPI

Frank Wood Peyton Jr., MD

  • Radiation Oncology Physician
  • Indianapolis, IN
National Provider Identifier
1649365792
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
01029532 Issued in IN
Practice address
8301 Harcourt Road
Suite 100
Indianapolis, IN 46260
Phone
(317) 415-6760
Fax
(317) 415-6758
NPI assigned
Oct 4, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 01029532 IN Primary

Addresses

Primary practice location

8301 Harcourt Road
Suite 100
Indianapolis, IN 46260

Mailing address

6100 W 96TH St
Suite 125
Indianapolis, IN 46278-6005
Phone (317) 715-1800

Other practice location 1

24 Six Pine Ranch Rd
Batesville, IN 47006-1399
Phone (812) 932-4673

Other identifiers 4

IdentifierTypeStateIssuer
200259350MedicaidIN
100426200MedicaidIN
366480CMedicaidIN
01029532BOtherINCSR

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address frank.peyton@mmhealth.cernerdirect.com

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
I20040310000364 IN Practitioner - Radiation Oncology 5597653543 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Indiana University School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cancer Care Group PCGroup PAC ID 1850295858, 21 clinicians

Practice addresses (Care Compare)

Indianapolis, IN 46278
Phone (317) 715-1800

24 Six Pine Ranch Rd
Batesville, IN 47006-1399
Phone (812) 932-4673

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01029532INMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Margaret Mary Community Hospital, Inc CurrentSince Dec 9, 2020 Accepting new patients
Cancer Care Group, P.C. Radiation Oncology CurrentSince Feb 28, 2023 Accepting new patients
Cancer Care Group, P.C. Radiation Oncology Past Accepting new patients
Major Hospital Past Accepting new patients

Locations

24 Six Pine Ranch Rd
Batesville, IN 47006
Phone (812) 376-3100

321 Mitchell Ave
Batesville, IN 47006
Phone (812) 933-5018

6100 W 96th St
Ste 125
Indianapolis, IN 46278
Phone (317) 715-1803

1907 W Sycamore St
Kokomo, IN 46901
Phone (765) 452-5611

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

Hospital & facility affiliations 5

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1649365792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 W 96TH ST",
            "address_2": "SUITE 125",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462786005",
            "telephone_number": "317-715-1800",
            "fax_number": "317-715-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8301 HARCOURT ROAD",
            "address_2": "SUITE 100",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46260",
            "telephone_number": "317-415-6760",
            "fax_number": "317-415-6758"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24 Six Pine Ranch Rd",
            "address_purpose": "LOCATION",
            "city": "Batesville",
            "state": "IN",
            "postal_code": "470061399",
            "country_code": "US",
            "telephone_number": "812-932-4673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEYTON",
        "first_name": "FRANK",
        "middle_name": "WOOD",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2023-03-07",
        "certification_date": "2023-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "IN",
            "license": "01029532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200259350",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100426200",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "366480C",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSR",
            "identifier": "01029532B",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "frank.peyton@mmhealth.cernerdirect.com",
            "affiliation": "N",
            "address_1": "24 Six Pine Ranch Rd",
            "city": "Batesville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "470061399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.