Individual provider Active NPI

Allison Chesser Newsom, MD

  • Pediatrics Physician
  • Indianapolis, IN
National Provider Identifier
1679733117
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
01071556A Issued in IN
Practice address
1575 Dr Martin Luther King Jr St
Indianapolis, IN 46202-2295
Phone
(317) 264-2700
Fax
(317) 644-7243
NPI assigned
Jun 9, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 01071556A IN Primary

Addresses

Primary practice location

1575 Dr Martin Luther King Jr St
Indianapolis, IN 46202-2295

Mailing address

1575 Dr Martin Luther King Jr St
Indianapolis, IN 46202-2295
Phone (317) 644-7243

Other practice location 1

2115 Central Ave
Indianapolis, IN 46202-1636
Phone (317) 986-7730

Other practice location 2

13861 Olio Rd
Fishers, IN 46037-3487
Phone (317) 415-9000

Other identifiers 1

IdentifierTypeStateIssuer
201111570MedicaidIN

Other names 1

  • Allison Patricia Chesser 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
I20130220000336 IN Practitioner - Internal MedicinePractitioner - Pediatric Medicine 3173778255 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincent Pediatric Subspecialties Pediatrics CurrentSince Aug 5, 2024 Accepting new patients
Children'S Bureau, Inc. CurrentSince Aug 1, 2021 Accepting new patients
St Vincent Pediatric Subspecialties Pediatrics CurrentSince Aug 5, 2024 Accepting new patients
Major Hospital Past Accepting new patients

Locations

13861 Olio Rd
Fishers, IN 46037
Phone (317) 338-7136

1575 Dr Martin Luther King Jr St
Indianapolis, IN 46202
Phone (317) 264-2700

8111 Township Line Rd
Indianapolis, IN 46260
Phone (317) 415-7921

2115 Central Ave
Indianapolis, IN 46202
Phone (317) 790-5536

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

1575 Dr Martin Luther King Jr St
Ste 1
Indianapolis, IN 46202

Organizations & group practices 5

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": "1212969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1679733117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 DR MARTIN LUTHER KING JR ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462022295",
            "telephone_number": "317-644-7243",
            "fax_number": "317-644-7243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 DR MARTIN LUTHER KING JR ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462022295",
            "telephone_number": "317-264-2700",
            "fax_number": "317-644-7243"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2115 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462021636",
            "country_code": "US",
            "telephone_number": "317-986-7730",
            "fax_number": "317-986-7807",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13861 Olio Rd",
            "address_purpose": "LOCATION",
            "city": "Fishers",
            "state": "IN",
            "postal_code": "460373487",
            "country_code": "US",
            "telephone_number": "317-415-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEWSOM",
        "first_name": "ALLISON",
        "middle_name": "CHESSER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-09",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01071556A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201111570",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALLISON",
            "last_name": "CHESSER",
            "middle_name": "PATRICIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.