NPIMap

Individual provider Active NPI

Elpidio M Feliciano Jr., M.D.

  • Internal Medicine Physician
  • Muncie, IN
National Provider Identifier
1659358745
Registry record updated Mar 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01056999 Issued in IN
Practice address
1910 W Royale Dr
Muncie, IN 47304-2264
Phone
(765) 289-1011
NPI assigned
Dec 29, 2005
Last updated
Mar 17, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01056999 IN Primary

Addresses

Primary practice location

1910 W Royale Dr
Muncie, IN 47304-2264

Mailing address

1910 W Royale Dr
Muncie, IN 47304-2264
Phone (765) 289-1011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050323000835 IN Practitioner - Internal MedicinePractitioner - Family PracticePractitioner - Emergency Medicine 0244286292 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
US Therapy IncGroup PAC ID 6507893187, 81 clinicians

Practice addresses (Care Compare)

1910 W Royale Dr
Muncie, IN 47304-2264

2401 W University Ave
Muncie, IN 47303-3428
Phone (765) 751-5253

3607 N Everbrook LN
Muncie, IN 47304-5220

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01056999INMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Royale Internal Medicine, LLC Internal Medicine Current Accepting new patients
Rainmaker Production Services, LLC Internal Medicine CurrentSince May 1, 2012 Accepting new patients
M & M Internal Medicine, LLC Internal Medicine Current Accepting new patients
Lana Bucchino LLC Current Accepting new patients
Wellcare Medical, LLC Internal Medicine Current Accepting new patients
Jack Feliciano MD, Inc Internal Medicine CurrentSince Dec 1, 2014 Accepting new patients
Skinsations Dermatherapy, LLC Past Accepting new patients
Skinsations Dermatherapy, LLC Past Accepting new patients
Major Hospital Past Accepting new patients
Indiana Physician Management-Mercy, LLC Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Preferred Emergency Physicians Past Accepting new patients
Medical Evaluation Services Past Accepting new patients
Photodermic Skin Therapy, LLC PastSince Mar 1, 2008 Accepting new patients

Locations

1910 W Royale Dr
Muncie, IN 47304
Phone (765) 289-1011

2401 W University Ave
Muncie, IN 47303
Phone (765) 747-3111

3400 W Community Dr
Muncie, IN 47304
Phone (765) 282-5822

Interoperability endpoints

  • Direct secure messaging: elpidiofeliciano@ia.allscriptsdirect.net

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 6

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": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395014400000",
    "number": "1659358745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 W ROYALE DR",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473042264",
            "telephone_number": "765-289-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 W ROYALE DR",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473042264",
            "telephone_number": "765-289-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELICIANO",
        "first_name": "ELPIDIO",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2014-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01056999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muncie, IN

Sources for this page

Verify at the official NPI Registry.