Individual provider Active NPI

John Ralph Collip, M.D.

  • General Practice Physician
  • Greenfield, IN
National Provider Identifier
1710097571
Registry record updated Aug 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
01044478A Issued in IN
Practice address
415 W Main St
Greenfield, IN 46140-2056
Phone
(317) 679-1009
Fax
(317) 826-1370
NPI assigned
Aug 30, 2006
Last updated
Aug 30, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 01044478A IN Primary

Addresses

Primary practice location

415 W Main St
Greenfield, IN 46140-2056

Mailing address

8268 Red Sail CT
Indianapolis, IN 46236-9574
Phone (317) 679-1009

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
I20050322001080 IN Practitioner - General Practice 9931002474 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Recover Together IncGroup PAC ID 7810247533, 141 clinicians

Practice addresses (Care Compare)

1001 N Western Ave
Suite C
Marion, IN 46952-2568
Phone (800) 683-8313

1017 3Rd St
Columbus, IN 47201-6870
Phone (608) 977-7226

508 W 2ND St
Groups Recover Together
Bloomington, IN 47403-2316
Phone (800) 683-8313

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01044478AINMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Major Hospital Past Accepting new patients
Little Creek Family Healthcare Center LLC Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377820800000",
    "number": "1710097571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8268 RED SAIL CT",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462369574",
            "telephone_number": "317-679-1009",
            "fax_number": "317-826-1370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 W MAIN ST",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461402056",
            "telephone_number": "317-679-1009",
            "fax_number": "317-826-1370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLIP",
        "first_name": "JOHN",
        "middle_name": "RALPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2013-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IN",
            "license": "01044478A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, IN

Sources for this page

Verify at the official NPI Registry.