Individual provider Active NPI

Earl E Lloyd, MD

  • Internal Medicine Physician
  • Muncie, IN
National Provider Identifier
1669524658
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01043982 Issued in IN
Practice address
4000 W Woodway Dr
Muncie, IN 47304-4264
Phone
(765) 289-5006
Fax
(765) 213-4952
NPI assigned
Jan 18, 2007
Last updated
Mar 17, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

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 01043982 IN Primary

Addresses

Primary practice location

4000 W Woodway Dr
Muncie, IN 47304-4264

Mailing address

4000 W Woodway Dr
Muncie, IN 47304-4264
Phone (765) 289-5006

Other identifiers 3

IdentifierTypeStateIssuer
IN1953003OtherINMEDICARE
000000880431OtherINANTHEM BCBS
200078280BMedicaidIN

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
I20080623000541 IN Practitioner - Internal Medicine 0345311056 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Woodway Internal Medicine PCGroup PAC ID 9830312263, 5 clinicians

Practice addresses (Care Compare)

4000 W Woodway Dr
Muncie, IN 47304-4264
Phone (765) 289-5006

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01043981INMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Woodway Internal Medicine PC Internal Medicine CurrentSince May 4, 2014 Accepting new patients

Locations

4000 W Woodway Dr
Muncie, IN 47304
Phone (765) 213-4950

Interoperability endpoints

  • Direct secure messaging: earl.lloyd.1@27103.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/27103/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1669524658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 W WOODWAY DR",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473044264",
            "telephone_number": "765-289-5006",
            "fax_number": "765-213-4952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 W WOODWAY DR",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473044264",
            "telephone_number": "765-289-5006",
            "fax_number": "765-213-4952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LLOYD",
        "first_name": "EARL",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01043982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "IN1953003",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000880431",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200078280B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Muncie, IN

Sources for this page

Verify at the official NPI Registry.