Active NPI
Kevin Cantwell, M.D.
- Anesthesiology Physician
- Indianapolis, IN
National Provider Identifier
1679870042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 01035263A
- Practice address
- 11715 Fox Rd # 400-227
Indianapolis, IN 46236-8421 - Phone
- (317) 536-6295
- Fax
- (317) 536-6295
- NPI assigned
- Feb 22, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 01035263A | IN | |
| Anesthesiology Physician | 207L00000X | 01035263A | IN | Primary |
Addresses
Primary practice location
11715 Fox Rd # 400-227
Indianapolis, IN 46236-8421
Mailing address
11715 Fox Rd # 400-227
Indianapolis, IN 46236-8421
Phone (317) 536-6295
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01035263A | IN | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303257600000",
"number": "1679870042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11715 FOX RD # 400-227",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462368421",
"telephone_number": "317-536-6295",
"fax_number": "317-536-6295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11715 FOX RD # 400-227",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462368421",
"telephone_number": "317-536-6295",
"fax_number": "317-536-6295"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANTWELL",
"first_name": "KEVIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-02-22",
"last_updated": "2011-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "IN",
"license": "01035263A",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IN",
"license": "01035263A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.