Individual provider Active NPI

Richard Payne, M.D

  • Psychiatry Physician
  • Indianapolis, IN
National Provider Identifier
1710104088
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
01029837A Issued in IN
Practice address
5899 Grandview Dr
Indianapolis, IN 46228-1847
Phone
(800) 518-7974
NPI assigned
Apr 19, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 01029837A IN Primary

Addresses

Primary practice location

5899 Grandview Dr
Indianapolis, IN 46228-1847

Mailing address

5899 Grandview Dr
Indianapolis, IN 46228-1847
Phone (800) 518-7974

Other identifiers 1

IdentifierTypeStateIssuer
01029837AOtherINMEDICAL LICENSE NUMBER

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
I20071213000786 IN Practitioner - PsychiatryPractitioner - Geriatric Psychiatry 6507956596 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Geriatric Psychiatry
Education
Indiana University School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St. Vincent Hospital and Health Care Center IncGroup PAC ID 4981516853, 48 clinicians

Practice addresses (Care Compare)

8150 Michigan Rd
Indianapolis, IN 46268-1933
Phone (317) 228-9464

8401 Harcourt Rd
Suite 302
Indianapolis, IN 46260-2036
Phone (317) 338-4600

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincent Hospital & Health Care Center, Inc. Psychiatry CurrentSince Apr 1, 2009 Accepting new patients
Payne & Associates Incorporated Psychiatry CurrentSince Jan 21, 2009 Accepting new patients
St. Vincent Hospital & Health Care Center, Inc. CurrentSince Apr 1, 2009 Accepting new patients
Aims, LLC Psychiatry CurrentSince Jul 21, 2020 Accepting new patients
Major Hospital Past Accepting new patients

Locations

417 S Whitlock St
Bremen, IN 46506
Phone (574) 546-0330

6720 Parkdale Pl
Indianapolis, IN 46254
Phone (219) 648-2400

8401 Harcourt Rd
Ste 302
Indianapolis, IN 46260
Phone (317) 338-4600

6720 Parkdale Pl
Ste 100
Indianapolis, IN 46254
Phone (615) 250-9500

8150 Michigan Rd
Indianapolis, IN 46268
Phone (317) 228-9464

Organizations & group practices 5

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": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710104088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5899 GRANDVIEW DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462281847",
            "telephone_number": "800-518-7974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5899 GRANDVIEW DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462281847",
            "telephone_number": "800-518-7974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "01029837A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NUMBER",
            "identifier": "01029837A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.