Individual provider Active NPI

Grant E McDougal, MD

  • Nephrology Physician
  • Indianapolis, IN
National Provider Identifier
1699760983
Registry record updated Dec 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
01051076A Issued in IN
Practice address
9011 N Meridian St Ste 225
Indianapolis, IN 46260-5365
Phone
(317) 574-4747
NPI assigned
Sep 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 01051076A IN Primary

Addresses

Primary practice location

9011 N Meridian St Ste 225
Indianapolis, IN 46260-5365

Mailing address

9011 N Meridian St Ste 225
Indianapolis, IN 46260-5365
Phone (317) 574-4747

Other practice location 1

8205 E 56th St Ste 250
Indianapolis, IN 46216-1097
Phone (317) 353-8985

Other identifiers 1

IdentifierTypeStateIssuer
200444340MedicaidIN

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
I20040504000882 IN Practitioner - NephrologyPractitioner - Internal Medicine 2769470111 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Indiana University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Indiana Nephrology and Internal Medicine PCGroup PAC ID 2769389550, 35 clinicians

Practice addresses (Care Compare)

1051 N State St
Greenfield, IN 46140-1205
Phone (317) 353-8985

8205 E 56TH St
Suite 250
Indianapolis, IN 46216-1097
Phone (317) 353-8985

9011 N Meridian St
Suite 225
Indianapolis, IN 46260-5365
Phone (317) 574-4747

Hospital & facility affiliations

  • FMC - Indianapolis-East Dialysis facility, Indianapolis, IN, CCN 152502
  • FMC-Indianapolis Northeast Dialysis facility, Indianapolis, IN, CCN 152696
  • FMC - Irvington Dialysis facility, Indianapolis, IN, CCN 152588
  • Community Hospital North Hospital, Indianapolis, IN, CCN 150169
  • Community Hospital East Hospital, Indianapolis, IN, CCN 150074
  • Hancock Regional Hospital Hospital, Greenfield, IN, CCN 150037
  • Community Hospital of Anderson and Madison County Hospital, Anderson, IN, CCN 150113

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana Nephrology and Internal Medicine, P.C. Nephrology CurrentSince Jul 1, 2004 Accepting new patients
Major Hospital Past Accepting new patients

Locations

1051 N State St
Greenfield, IN 46140
Phone (317) 353-8985

9011 N Meridian St
Ste 225
Indianapolis, IN 46260
Phone (317) 574-4747

8935 N Meridian St
Ste 200
Indianapolis, IN 46260
Phone (317) 574-4747

8330 Naab Rd
Ste 234
Indianapolis, IN 46260
Phone (317) 875-0084

8205 E 56th St
Ste 250
Indianapolis, IN 46216
Phone (317) 338-6701

Interoperability endpoints

  • Direct secure messaging: gmcdougal17316@direct.acumenmd.com

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 6

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": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766707200000",
    "number": "1699760983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9011 N MERIDIAN ST STE 225",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462605365",
            "telephone_number": "317-574-4747",
            "fax_number": "317-574-4737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9011 N MERIDIAN ST STE 225",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462605365",
            "telephone_number": "317-574-4747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8205 E 56th St Ste 250",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462161097",
            "country_code": "US",
            "telephone_number": "317-353-8985",
            "fax_number": "317-353-2389",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDOUGAL",
        "first_name": "GRANT",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-13",
        "last_updated": "2025-12-26",
        "certification_date": "2025-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IN",
            "license": "01051076A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200444340",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.