Individual provider Active NPI

Rachel Ward, M.D.

  • MOHS-Micrographic Surgery Physician
  • Muncie, IN
National Provider Identifier
1710373378
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
01087224AA Issued in IN
Practice address
4505 N Wheeling Ave
Muncie, IN 47304-1284
Phone
(765) 288-6200
NPI assigned
Apr 10, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 01087224AA IN
MOHS-Micrographic Surgery Physician 207ND0101X 01087224AA IN Primary

Addresses

Primary practice location

4505 N Wheeling Ave
Muncie, IN 47304-1284

Mailing address

401 W McGalliard Rd
Muncie, IN 47303-1828
Phone (765) 288-6200

Other practice location 1

401 W McGalliard Rd
Muncie, IN 47303-1828
Phone (765) 288-6200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190826001580 OH Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 6103127980 Reassigns benefits to 1 organization
I20220830002201 IN Practitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - Dermatology 6103127980 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Micrographic Dermatologic Surgery (MDS)Also: Dermatology
Education
Indiana University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifetime Skin Care Centers, LLCGroup PAC ID 1254306574, 6 clinicians
Dermatology Associates of Indiana PCGroup PAC ID 6507931649, 4 clinicians

Practice addresses (Care Compare)

4505 N Wheeling Ave
Muncie, IN 47304-1284
Phone 7652886200448

8433 Harcourt Rd
Suite 310
Indianapolis, IN 46260-2198
Phone (317) 338-9393

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision40
Removal of tissue1-10
Removal of skin lesions11
Removal of skin cancer917
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01087224AAINMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lifetime Skin Care Centers, LLC Dermatology CurrentSince Sep 1, 2022 Accepting new patients
Dermatology Associates of Indiana PC Dermatology CurrentSince Mar 1, 2026 Accepting new patients
The Cleveland Clinic Foundation CurrentSince Jun 26, 2019 Accepting new patients

Locations

8433 Harcourt Rd
Ste 310
Indianapolis, IN 46260
Phone (317) 338-9393

401 W McGalliard Rd
Muncie, IN 47303
Phone (765) 288-6200

4505 N Wheeling Ave
Muncie, IN 47304
Phone (765) 284-4050

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

9500 Euclid Ave
#A60
Cleveland, OH 44195
Phone (216) 444-5415

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1428624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1710373378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W MCGALLIARD RD",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473031828",
            "telephone_number": "765-288-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4505 N WHEELING AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473041284",
            "telephone_number": "765-288-6200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 W McGalliard Rd",
            "address_purpose": "LOCATION",
            "city": "Muncie",
            "state": "IN",
            "postal_code": "473031828",
            "country_code": "US",
            "telephone_number": "765-288-6200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARD",
        "first_name": "RACHEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-10",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IN",
            "license": "01087224AA",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "IN",
            "license": "01087224AA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muncie, IN

Sources for this page

Verify at the official NPI Registry.