Individual provider Active NPI

Megan Marie Vanderbur, PA

  • Physician Assistant
  • Columbus, IN
National Provider Identifier
1669162061
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
4665 N US Highway 31
Columbus, IN 47201-8558
Phone
(812) 376-9353
Fax
(812) 376-3757
NPI assigned
May 9, 2023
Last updated
Dec 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

4665 N US Highway 31
Columbus, IN 47201-8558

Mailing address

4665 N US Highway 31
Columbus
Columbus, IN 47201-8558
Phone (812) 376-9353

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240306001483 IN Practitioner - Physician Assistant 5799121331 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Indiana Orthopedics IncGroup PAC ID 0941281836, 18 clinicians

Practice addresses (Care Compare)

4665 N US Hwy 31
Columbus, IN 47201-8558
Phone (812) 376-9353

930 E Barachel LN
Suite 500
Greensburg, IN 47240-3255
Phone (812) 663-7790

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Indiana Orthopedics Inc CurrentSince Feb 29, 2024 Accepting new patients
Major Hospital Past Accepting new patients

Locations

4665 N US Highway 31
Columbus, IN 47201
Phone (812) 343-2755

902 N Lincoln St
Ste 1B
Greensburg, IN 47240
Phone (812) 376-9353

Interoperability endpoints

  • Direct secure messaging: mkimbley11328@edirect.crh.org

Organizations & group practices 2

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 2

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": "1683590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1669162061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4665 N US HIGHWAY 31",
            "address_2": "COLUMBUS",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472018558",
            "telephone_number": "812-376-9353",
            "fax_number": "812-376-3757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4665 N US HIGHWAY 31",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472018558",
            "telephone_number": "812-376-9353",
            "fax_number": "812-376-3757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERBUR",
        "first_name": "MEGAN",
        "middle_name": "MARIE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-09",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, IN

Sources for this page

Verify at the official NPI Registry.