Active NPI
Steven Lee Wise, M.D.
- Allergy & Immunology Physician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 01039205A
- Practice address
- 9002 N Meridian St Ste 107
Indianapolis, IN 46260-5349 - Phone
- (317) 848-9441
- Fax
- (317) 924-8239
- NPI assigned
- Nov 18, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 01039205A | IN | Primary |
Addresses
Primary practice location
9002 N Meridian St Ste 107
Indianapolis, IN 46260-5349
Mailing address
PO Box 603725
Charlotte, NC 28260-3725
Phone (828) 575-2625
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| IN1125005 | Other | IN | MEDICARE PTAN |
| IN1127005 | Other | IN | MEDICARE PTAN |
| 100101830 | Medicaid | IN |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Allergy/Immunology
- Education
- Medical College of Georgia School of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9002 N Meridian St
Suite 107
Indianapolis, IN 46260-5349
Phone (317) 848-4070
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01039205A | IN | MD | Allergy & Immunology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allergy Partners, PLLC | Allergy & Immunology | Current | Accepting new patients |
| NPI 1508468638 | Allergy & Immunology | Current | Accepting new patients |
| Major Hospital | Past | Accepting new patients |
Locations
6781 E US Highway 36
Ste 300
Avon, IN 46123
Phone (317) 272-8095
11501 Cumberland Rd
Ste 500
Fishers, IN 46037
Phone (317) 621-9393
3266 N Meridian St
Ste 900
Indianapolis, IN 46208
7430 N Shadeland Ave
Ste 150
Indianapolis, IN 46250
Phone (317) 288-5187
8202 Clearvista Pkwy
Ste 4A
Indianapolis, IN 46256
Phone (317) 579-0797
9002 N Meridian St
Ste 107
Indianapolis, IN 46260
Phone (317) 848-4070
Organizations & group practices 2
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.
-
- Allergy & Immunology Physician
- Indianapolis, IN
- NPI 1881946390
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708992000000",
"number": "1740262211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 603725",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282603725",
"telephone_number": "828-575-2625",
"fax_number": "828-350-2174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9002 N MERIDIAN ST STE 107",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462605349",
"telephone_number": "317-848-9441",
"fax_number": "317-924-8239"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WISE",
"first_name": "STEVEN",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-18",
"last_updated": "2024-02-27",
"certification_date": "2024-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "IN",
"license": "01039205A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "IN1125005",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "IN1127005",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100101830",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.