Active NPI
Rachel Retherford, PA
- Family Medicine Physician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 10002851A
- Practice address
- 8150 Oaklandon Rd Ste 130
Indianapolis, IN 46236-9554 - Phone
- (317) 621-1111
- Fax
- (317) 621-1110
- NPI assigned
- Nov 7, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Family Medicine Physician | 207Q00000X | 10002851A | IN | Primary |
Addresses
Primary practice location
8150 Oaklandon Rd Ste 130
Indianapolis, IN 46236-9554
Mailing address
6626 E 75TH St Ste 500
Indianapolis, IN 46250-2890
Other practice location 1
2101 DuBois Dr
Warsaw, IN 46580-3210
Phone (260) 433-3712
Other practice location 2
104 W Rochester St
Akron, IN 46910-9997
Phone (574) 893-4585
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rachel.retherford@lutheranhealthnetwork.cernerdirect.com |
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1487444782
Family Medicine, IN
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1619105244
Family Medicine, IN
-
- Endocrinology, Diabetes & Metabolism Physician
- Carmel, IN
- NPI 1992396337
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Community Physicians of Indiana IncCommunity Physician Network Urgent Care LLC
Practice addresses (Care Compare)
7120 Clearvista Dr
Suite 4000
Indianapolis, IN 46256-1774
Phone (317) 621-7444
8150 Oaklandon Rd
Suite 130
Indianapolis, IN 46236-9554
Phone (317) 621-1111
8177 Clearvista Pkwy
Suite 100
Indianapolis, IN 46256-1662
Phone (317) 621-7800
Hospital & facility affiliations
- Community Hospital North
- Community Hospital East
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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200102000281 | IN | Practitioner - Physician Assistant | 7517391436 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Physicians of Indiana Inc | Family Medicine | Current | Accepting new patients |
| Community Physician Network Urgent Care LLC | Family Medicine | Current | Accepting new patients |
| Major Hospital | Past | Accepting new patients |
Locations
5819 Reliable Pkwy
Chicago, IL 60686
7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444
6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547
8150 Oaklandon Rd
Ste 130
Indianapolis, IN 46236
Phone (317) 621-1111
8177 Clearvista Pkwy
#100
Indianapolis, IN 46256
Phone (317) 621-7800
Interoperability endpoints
- rretherford483432@ecommunitydirect.com
- rachel.retherford@lutheranhealthnetwork.cernerdirect.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629763200000",
"number": "1669017117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6626 E 75TH ST STE 500",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462502890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8150 OAKLANDON RD STE 130",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462369554",
"telephone_number": "317-621-1111",
"fax_number": "317-621-1110"
}
],
"practiceLocations": [
{
"address_1": "2101 DuBois Dr",
"address_purpose": "LOCATION",
"city": "Warsaw",
"state": "IN",
"postal_code": "465803210",
"country_code": "US",
"telephone_number": "260-433-3712",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "104 W Rochester St",
"address_purpose": "LOCATION",
"city": "Akron",
"state": "IN",
"postal_code": "469109997",
"country_code": "US",
"telephone_number": "574-893-4585",
"fax_number": "260-479-2901",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RETHERFORD",
"first_name": "RACHEL",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-07",
"last_updated": "2021-08-24",
"certification_date": "2021-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "10002851A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rachel.retherford@lutheranhealthnetwork.cernerdirect.com",
"affiliation": "N",
"endpointDescription": "AMR direct address",
"address_1": "104 W Rochester St",
"city": "Akron",
"state": "IN",
"country_code": "US",
"postal_code": "469109997",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Indianapolis, IN
- Restorative Personal Care Services
- Restore Care Home Care, LLC
- Restored Pieces LLC
- Restoring Families One Step at a Time, LLC
- Angela Marie Retana
- Retina Institute, P.C.
- Retirement Living, Inc.
- Retro Home Health Care Services, Inc.
- Retro Home Health Care Services, LLP
- Retro Home Health Care Services,LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.