Individual provider Active NPI

Michelle Yvette Owens, MD

  • Maternal & Fetal Medicine Physician
  • Indianapolis, IN
National Provider Identifier
1669694063
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
01089581A Issued in IN
Practice address
8081 Township Line Rd Ste 203
Indianapolis, IN 46260-2189
Phone
(317) 415-8100
NPI assigned
May 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 18817 MS
Maternal & Fetal Medicine Physician 207VM0101X 18817 MS
Maternal & Fetal Medicine Physician 207VM0101X 01089581A IN Primary

Addresses

Primary practice location

8081 Township Line Rd Ste 203
Indianapolis, IN 46260-2189

Mailing address

8081 Township Line Rd Ste 203
Indianapolis, IN 46260-2189

Other practice location 1

2500 North State Street
OB-GYN
Jackson, MS 39216
Phone (601) 815-9114

Other identifiers 3

IdentifierTypeStateIssuer
08103071MedicaidMS
01188743MedicaidMS
512I160026OtherMSMEDICARE PTAN

Other names 1

  • Michelle Yvette Taylor Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070816000522 MS Practitioner - Obstetrics/Gynecology 2860584109 Reassigns benefits to 1 organization
I20230403002087 IN Practitioner - Obstetrics/Gynecology 2860584109 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Virginia Commonwealth University, School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Vincent Pediatric SubspecialtiesGroup PAC ID 1557313939, 37 clinicians

Practice addresses (Care Compare)

2001 W 86TH St
Indianapolis, IN 46260-1902
Phone (317) 338-3617

8081 Township Line Rd
Suite 203
Indianapolis, IN 46260-2189
Phone (317) 338-3000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01089581AINMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincent Physician Services Hospital and Health Care Center Obstetrics & Gynecology CurrentSince Mar 1, 2023 Accepting new patients
St Vincent Pediatric Subspecialties Maternal & Fetal Medicine CurrentSince Mar 1, 2023 Accepting new patients
St Vincent Physician Services Hospital and Health Care Center CurrentSince Mar 1, 2023 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Aug 1, 2012 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Aug 1, 2012 Accepting new patients
St Vincent Pediatric Subspecialties CurrentSince Mar 1, 2023 Accepting new patients
University Radiation Oncology Consultants, PLLC Past Accepting new patients

Locations

13420 N Meridian St
Ste 200
Carmel, IN 46032
Phone (317) 415-7626

8240 Naab Rd
Ste 155
Indianapolis, IN 46260
Phone (317) 338-7760

250 W 96th St
#520
Indianapolis, IN 46260
Phone (317) 583-3331

8414 Naab Rd
Indianapolis, IN 46260
Phone (317) 338-1600

2001 W 86th St
Indianapolis, IN 46260
Phone (317) 338-3617

8081 Township Line Rd
Ste 203
Indianapolis, IN 46260
Phone (317) 415-7921

2500 N State St
Jackson, MS 39216
Phone (601) 815-4775

1815 Hospital Dr
Jackson, MS 39204
Phone (601) 815-4775

Interoperability endpoints

  • Direct secure messaging: mowens5272@ummc.direct-ci.com
  • Direct secure messaging: michelle.owens.1@7598.direct.athenahealth.com

Organizations & group practices 7

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1669694063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8081 TOWNSHIP LINE RD STE 203",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8081 TOWNSHIP LINE RD STE 203",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602189",
            "telephone_number": "317-415-8100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 North State Street",
            "address_2": "OB-GYN",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "39216",
            "country_code": "US",
            "telephone_number": "601-815-9114",
            "fax_number": "601-984-6773",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OWENS",
        "first_name": "MICHELLE",
        "middle_name": "YVETTE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MS",
            "license": "18817",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "MS",
            "license": "18817",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "IN",
            "license": "01089581A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08103071",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01188743",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "512I160026",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "TAYLOR",
            "middle_name": "YVETTE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.