Individual provider Active NPI

Amelie Medley, MD

  • Surgery Physician
  • Greenfield, IN
National Provider Identifier
1669967691
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
01086807A Issued in IN
Practice address
801 N State St
Greenfield, IN 46140-1270
Phone
(317) 462-5544
NPI assigned
Jun 22, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 01086807A IN Primary

Addresses

Primary practice location

801 N State St
Greenfield, IN 46140-1270

Mailing address

3740 Indigo Blue Blvd
Whitestown, IN 46075-9721
Phone (317) 730-0885

Other names 1

  • Amelie Lueders Former name

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
I20250325000807 IN Practitioner - General Surgery 5597012849 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hancock Physician Network LLCGroup PAC ID 8325952633, 139 clinicians

Practice addresses (Care Compare)

801 N State St
Suite 100
Greenfield, IN 46140-1270
Phone (317) 462-3255

Hospital & facility affiliations

  • Hancock Regional Hospital Hospital, Greenfield, IN, CCN 150037

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy12
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux26

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01086807AINMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hancock Physician Network, LLC Surgery CurrentSince Apr 1, 2025 Accepting new patients
St. Vincent Hospital & Health Care Center, Inc. Past Accepting new patients

Locations

801 N State St
Ste 2000
Greenfield, IN 46140
Phone (317) 325-2727

801 N State St
Ste 100
Greenfield, IN 46140
Phone (317) 462-3255

801 N State St
Greenfield, IN 46140
Phone (317) 462-5544

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1529625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1669967691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3740 INDIGO BLUE BLVD",
            "city": "WHITESTOWN",
            "state": "IN",
            "postal_code": "460759721",
            "telephone_number": "317-730-0885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N STATE ST",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461401270",
            "telephone_number": "317-462-5544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDLEY",
        "first_name": "AMELIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-22",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IN",
            "license": "01086807A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMELIE",
            "last_name": "LUEDERS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greenfield, IN

Sources for this page

Verify at the official NPI Registry.