Active NPI
David Mitchell Lauck, D.O.
- Internal Medicine Physician
- Carmel, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 02004160A
- Practice address
- 11911 N Meridian St Ste 100
Carmel, IN 46032-6919 - Phone
- (317) 621-6800
- Fax
- (317) 621-6808
- NPI assigned
- May 11, 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0102204458 | VA | |
| Internal Medicine Physician | 207R00000X | 02004160A | IN | Primary |
Addresses
Primary practice location
11911 N Meridian St Ste 100
Carmel, IN 46032-6919
Mailing address
6626 E 75TH St Ste 500
Indianapolis, IN 46250-2890
Other practice location 1
77 Nealy Ave
USAF Hospital Langley
Hampton, VA 23665-2040
Phone (757) 764-8290
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300002668 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dlauck229109@eCommunityDirect.com | Community Physicians of Indiana Inc |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Midwestern University, Chicago College of Osteopathic Med, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
11911 N Meridian St
Suite 150
Carmel, IN 46032-4640
Phone (317) 621-6701
Hospital & facility affiliations
- Community Health at Home LLC
- Hoosier Homecare Services LLC
- Amedisys Home Health
- Community Hospital North
- Community Hospital East
- Indiana University Health
- Ascension St Vincent Hospital
- Indiana University Health North Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02004160A | IN | MD | Internal Medicine Physician |
| 0102204458 | VA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Physicians of Indiana Inc | Current | Accepting new patients | |
| Community Physicians of Indiana Inc | Internal Medicine | Current | Accepting new patients |
Locations
5819 Reliable Pkwy
Chicago, IL 60686
11911 N Meridian St
Ste 150
Carmel, IN 46032
Phone (317) 621-6700
11911 N Meridian St
Ste 100
Carmel, IN 46032
Phone (317) 621-6800
7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444
6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547
Interoperability endpoints
- dlauck229109@ecommunitydirect.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.
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1619105244
Internal Medicine
-
- Endocrinology, Diabetes & Metabolism Physician
- Carmel, IN
- NPI 1992396337
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Carmel, IN
- NPI 1568492916
-
- Home Health Agency
- Terre Haute, IN
- NPI 1003937269
-
- Home Health Agency
- Indianapolis, IN
- NPI 1730646589
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1336119478
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1619163854
-
- Home Health Agency
- Anderson, IN
- NPI 1801075049
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1144266024
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1306898960
-
- General Acute Care Hospital
- Avon, IN
- NPI 1851833230
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654214400000",
"number": "1700178597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6626 E 75TH ST STE 500",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462502890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11911 N MERIDIAN ST STE 100",
"city": "CARMEL",
"state": "IN",
"postal_code": "460326919",
"telephone_number": "317-621-6800",
"fax_number": "317-621-6808"
}
],
"practiceLocations": [
{
"address_1": "77 Nealy Ave",
"address_2": "USAF Hospital Langley",
"address_purpose": "LOCATION",
"city": "Hampton",
"state": "VA",
"postal_code": "236652040",
"country_code": "US",
"telephone_number": "757-764-8290",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAUCK",
"first_name": "DAVID",
"middle_name": "MITCHELL",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-05-11",
"last_updated": "2022-06-03",
"certification_date": "2022-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0102204458",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "02004160A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300002668",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dlauck229109@eCommunityDirect.com",
"affiliation": "Y",
"affiliationName": "Community Physicians of Indiana Inc",
"address_1": "11911 N Meridian St Ste 100",
"city": "Carmel",
"state": "IN",
"country_code": "US",
"postal_code": "460326919",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Carmel, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.