Individual provider Active NPI

Maria Antonia Valena, MD

  • Psychiatry Physician
  • Indianapolis, IN
National Provider Identifier
1730284977
Registry record updated Oct 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
01037902A Issued in IN
Practice address
6470 N Shadeland Ave
Suite C
Indianapolis, IN 46220-4390
Phone
(317) 849-9509
Fax
(317) 841-1157
NPI assigned
Sep 13, 2006
Last updated
Oct 9, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 01037902A IN Primary
Child & Adolescent Psychiatry Physician 2084P0804X 01037902A IN

Addresses

Primary practice location

6470 N Shadeland Ave
Suite C
Indianapolis, IN 46220-4390

Mailing address

6626 E 75TH Street
Suite 500
Indianapolis, IN 46250-2890

Other identifiers 1

IdentifierTypeStateIssuer
200040110MedicaidIN

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
I20101111000422 IN Practitioner - Psychiatry 6507051919 Reassigns benefits to 2 organizations
Practice locations: Indianapolis, IN

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6470 N Shadeland Ave C
Indianapolis, IN 46220-4386
Phone (317) 849-9509

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01037902AINMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Network, Inc CurrentSince Oct 1, 2014 Accepting new patients
Community Health Network, Inc Current Accepting new patients
Community Physicians of Indiana Inc CurrentSince Jan 13, 2013 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Jan 13, 2013 Accepting new patients
Community Hospital of Indiana Inc Past Accepting new patients
Community Health Network, Inc. Past Accepting new patients
Community Health Network, Inc Past Accepting new patients

Locations

5819 Reliable Pkwy
Chicago, IL 60686

6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547

6950 Hillsdale Ct
Indianapolis, IN 46250
Phone (317) 621-7533

7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444

8920 Southpointe Dr
Ste C1
Indianapolis, IN 46227
Phone (317) 881-5699

Interoperability endpoints

  • Direct secure messaging: mvalena8973@ecommunitydirect.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, 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": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507507200000",
    "number": "1730284977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6626 E 75TH STREET",
            "address_2": "SUITE 500",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6470 N SHADELAND AVE",
            "address_2": "SUITE C",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462204390",
            "telephone_number": "317-849-9509",
            "fax_number": "317-841-1157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENA",
        "first_name": "MARIA",
        "middle_name": "ANTONIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2017-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "01037902A",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "IN",
            "license": "01037902A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200040110",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.