Individual provider Active NPI

Melinda S Mumford-Dawdy, MD

  • Obstetrics & Gynecology Physician
  • Fishers, IN
National Provider Identifier
1720250665
Registry record updated Jul 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
01071085A Issued in IN
Practice address
13914 Southeastern Pkwy Ste 110
Fishers, IN 46037-7124
Phone
(317) 415-9010
NPI assigned
Apr 1, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 01071085A IN Primary

Addresses

Primary practice location

13914 Southeastern Pkwy Ste 110
Fishers, IN 46037-7124

Mailing address

13914 Southeastern Pkwy Ste 110
Fishers, IN 46037-7124

Other practice location 1

2020 W 86th St Ste 107
Indianapolis, IN 46260-1931
Phone (317) 875-9160

Other identifiers 1

IdentifierTypeStateIssuer
201094240MedicaidIN

Other names 1

  • Melinda S Mumford Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address melinda.mumford.2@7598.direct.athenahealth.com St. Vincent Medical Group, 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130412000115 IN Practitioner - Obstetrics/Gynecology 0446496616 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Indiana University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2001 W 86TH St
Indianapolis, IN 46260-1902
Phone (317) 338-2345

8240 Naab Rd
Suite 155
Indianapolis, IN 46260-1985
Phone (317) 338-7760

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01071085AINMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincent Physician Services Hospital and Health Care Center Obstetrics & Gynecology CurrentSince Aug 1, 2012 Accepting new patients
St Vincent Pediatric Subspecialties CurrentSince Aug 21, 2016 Accepting new patients
St Vincent Pediatric Subspecialties CurrentSince Aug 21, 2016 Accepting new patients
St. Vincent Medical Group, Inc. Obstetrics & Gynecology CurrentSince Aug 3, 2015 Accepting new patients
St Vincent Physician Services Hospital and Health Care Center CurrentSince Aug 1, 2012 Accepting new patients
Major Hospital Past Accepting new patients

Locations

2020 Meridian St
Ste 220
Anderson, IN 46016
Phone (765) 683-3158

2015 Jackson St
Anderson, IN 46016
Phone (765) 646-8243

13420 N Meridian St
Ste 300
Carmel, IN 46032
Phone (317) 582-7248

13914 Southeastern Pkwy
Ste 110
Fishers, IN 46037
Phone (317) 415-9010

8414 Naab Rd
Indianapolis, IN 46260
Phone (317) 338-1600

8240 Naab Rd
Ste 155
Indianapolis, IN 46260
Phone (317) 338-7760

8111 Township Line Rd
Indianapolis, IN 46260
Phone (317) 415-7921

8081 Township Line Rd
Ste 200
Indianapolis, IN 46260
Phone (317) 415-8070

8433 Harcourt Rd
Ste 100
Indianapolis, IN 46260
Phone (317) 583-7702

2020 W 86th St
Ste 107
Indianapolis, IN 46260
Phone (317) 875-9160

2001 W 86th St
Indianapolis, IN 46260
Phone (317) 338-3617

409 SE Greenville Ave
Winchester, IN 47394
Phone (765) 584-0480

Interoperability endpoints

  • Direct secure messaging: melinda.mumford.2@7598.direct.athenahealth.com

Organizations & group practices 7

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 2

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": "1207008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1720250665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13914 SOUTHEASTERN PKWY STE 110",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460377124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13914 SOUTHEASTERN PKWY STE 110",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460377124",
            "telephone_number": "317-415-9010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2020 W 86th St Ste 107",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462601931",
            "country_code": "US",
            "telephone_number": "317-875-9160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUMFORD-DAWDY",
        "first_name": "MELINDA",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-01",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "01071085A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201094240",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "melinda.mumford.2@7598.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "St. Vincent Medical Group, Inc.",
            "address_1": "13914 Southeastern Pkwy Ste 110",
            "city": "Fishers",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460377124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MELINDA",
            "last_name": "MUMFORD",
            "middle_name": "S",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fishers, IN

Sources for this page

Verify at the official NPI Registry.