Individual provider Active NPI

Elizabeth A Grasee, MD

  • Plastic and Reconstructive Surgery Physician
  • Carmel, IN
National Provider Identifier
1740223510
Registry record updated Oct 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
01056343A Issued in IN
Practice address
12425 Old Meridian St
Suite #B1
Carmel, IN 46032-8724
Phone
(317) 581-0001
Fax
(317) 581-0002
NPI assigned
Jun 13, 2006
Last updated
Oct 23, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X 01056343A IN Primary

Addresses

Primary practice location

12425 Old Meridian St
Suite #B1
Carmel, IN 46032-8724

Mailing address

PO Box 68952
Indianapolis, IN 46268-0952
Phone (317) 802-3158

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
I20061208000286 IN Practitioner - Plastic and Reconstructive Surgery 4082613682 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Medical College of Wisconsin, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Indiana Cosmetic and Plastic Surgeons, LLCGroup PAC ID 4183623788, 2 clinicians

Practice addresses (Care Compare)

12425 Old Meridian St
Suite B1
Carmel, IN 46032-8725
Phone (317) 581-0001

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy25

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01056343AINMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana Cosmetic & Plastic Surgeons, LLC CurrentSince Aug 1, 2006 Accepting new patients
Major Hospital Past Accepting new patients
Associated Plastic Surgeons of Indiana PC PastSince Jul 19, 1993 Accepting new patients

Locations

12425 Old Meridian St
Carmel, IN 46032
Phone (317) 566-3422

12425 Old Meridian St
Ste B1
Carmel, IN 46032
Phone (317) 581-0001

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.

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": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193097600000",
    "number": "1740223510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 68952",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462680952",
            "telephone_number": "317-802-3158",
            "fax_number": "317-870-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12425 OLD MERIDIAN ST",
            "address_2": "SUITE #B1",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460328724",
            "telephone_number": "317-581-0001",
            "fax_number": "317-581-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRASEE",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2007-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "IN",
            "license": "01056343A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.