Individual provider Active NPI

Emily Kae Szewczyk, MD

  • Family Medicine Physician
  • Carmel, IN
National Provider Identifier
1689657553
Registry record updated Nov 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01056611A Issued in IN
Practice address
12174 N Meridian St Ste 300
Carmel, IN 46032-4578
Phone
(317) 688-9000
Fax
(317) 680-9900
NPI assigned
Nov 23, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2022

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 01056611A IN Primary

Addresses

Primary practice location

12174 N Meridian St Ste 300
Carmel, IN 46032-4578

Mailing address

12174 N Meridian St Ste 300
Carmel, IN 46032-4578
Phone (317) 688-9000

Other identifiers 1

IdentifierTypeStateIssuer
200473850MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address emily.szewczyk@74938637221892.direct.elationemr.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 11, 2017 through Jul 11, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01056611AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Priority Physicians, Inc. CurrentSince Nov 13, 2022 Accepting new patients
Priority Physicians of Fishers, LLC CurrentSince Nov 13, 2022 Accepting new patients

Locations

12174 N Meridian St
Ste 300
Carmel, IN 46032
Phone (317) 688-9000

8333 Naab Rd
Ste 360
Indianapolis, IN 46260
Phone (317) 338-6400

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.

NPI Registry JSON

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668124800000",
    "number": "1689657553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12174 N MERIDIAN ST STE 300",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460324578",
            "telephone_number": "317-688-9000",
            "fax_number": "317-680-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12174 N MERIDIAN ST STE 300",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460324578",
            "telephone_number": "317-688-9000",
            "fax_number": "317-680-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZEWCZYK",
        "first_name": "EMILY",
        "middle_name": "KAE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-23",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01056611A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200473850",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emily.szewczyk@74938637221892.direct.elationemr.com",
            "affiliation": "N",
            "endpointDescription": "Elation Direct Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "12174 N Meridian St Ste 300",
            "city": "Carmel",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460324578",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.