Individual provider Active NPI

Casey Lesniak, DO

  • Family Medicine Physician
  • Mooresville, IN
National Provider Identifier
1689251704
Registry record updated Jul 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01092104A Issued in IN
Practice address
1205 Hadley Rd Ste 200
Mooresville, IN 46158-1934
Phone
(317) 824-9393
Fax
(317) 834-9399
NPI assigned
Mar 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01092104A IN Primary

Addresses

Primary practice location

1205 Hadley Rd Ste 200
Mooresville, IN 46158-1934

Mailing address

PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800

Other practice location 1

5230 E Stop 11 Rd Ste 250
Indianapolis, IN 46237-6399
Phone (317) 528-8921

Other names 1

  • Casey Sieferman Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address csieferman588093@Direct.FranciscanAlliance.org Direct

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
I20240723002399 IN Practitioner - Family Practice 2961803481 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Marian University College of Osteopathic Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Franciscan Physician NetworkGroup PAC ID 3072790682, 1,152 clinicians

Practice addresses (Care Compare)

1205 Hadley Rd
Suite 200
Mooresville, IN 46158-1934
Phone (317) 834-9393

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Physician Network Family Medicine CurrentSince Aug 25, 2024 Accepting new patients
Franciscan Physician Network CurrentSince Aug 25, 2024 Accepting new patients
Major Hospital Past Accepting new patients

Locations

1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120

5230 E Stop 11 Rd
Ste 250
Indianapolis, IN 46237
Phone (317) 528-8921

1205 Hadley Rd
Ste 200
Mooresville, IN 46158
Phone (317) 824-9393

150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211

Interoperability endpoints

  • Direct secure messaging: clesniak588093@direct.franciscanalliance.org
  • Direct secure messaging: csieferman588093@direct.franciscanalliance.org

Organizations & group practices 3

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 4

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": "1616630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1689251704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781076",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482781076",
            "telephone_number": "317-528-4800",
            "fax_number": "317-865-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 HADLEY RD STE 200",
            "city": "MOORESVILLE",
            "state": "IN",
            "postal_code": "461581934",
            "telephone_number": "317-824-9393",
            "fax_number": "317-834-9399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5230 E Stop 11 Rd Ste 250",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462376399",
            "country_code": "US",
            "telephone_number": "317-528-8921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LESNIAK",
        "first_name": "CASEY",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-25",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01092104A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "csieferman588093@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5230 E Stop 11 Rd Ste 250",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462376399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CASEY",
            "last_name": "SIEFERMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mooresville, IN

Sources for this page

Verify at the official NPI Registry.