Individual provider Active NPI

Jamie R Ulbrich, M.D.

  • Family Medicine Physician
  • Avon, IN
National Provider Identifier
1750551859
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
11013229A Issued in IN
Practice address
301 Satoril Pkwy
Suite 200
Avon, IN 46123-6405
Phone
(317) 271-6363
Fax
(317) 271-7600
NPI assigned
Mar 4, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 11013229A IN Primary

Addresses

Primary practice location

301 Satoril Pkwy
Suite 200
Avon, IN 46123-6405

Mailing address

1100 Southfield Dr
Suite 1370
Plainfield, IN 46168-4498
Phone (317) 837-5571

Other identifiers 1

IdentifierTypeStateIssuer
200947430MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address julbrich228562@direct-PRD.stelizabeth.com

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
I20090828000003 IN Practitioner - Family Practice 7911052808 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Indiana University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hendricks County HospitalGroup PAC ID 4880505528, 341 clinicians

Practice addresses (Care Compare)

301 Satori Pkwy
Avon, IN 46123-6407

8244 E US Hwy 36
Avon, IN 46123-9688

8244 E US Hwy 36 1320
Avon Internal Medicine
Avon, IN 46123-9688
Phone (317) 272-7519

Hospital & facility affiliations

  • Suburban Home Health LLC Home health agency, Noblesville, IN, CCN 157092
  • Hendricks Regional Health Hospital, Danville, IN, CCN 150005

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11013229AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hendricks County Hospital CurrentSince Aug 17, 2009 Accepting new patients
Hendricks County Hospital Current Accepting new patients
Hendricks County Hospital CurrentSince Aug 17, 2009 Accepting new patients
Hendricks County Hospital Family Medicine Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Hendricks County Hospital Family Medicine Past Accepting new patients
Hendricks County Hospital Past Accepting new patients

Locations

301 Satori Pkwy
Ste 200
Avon, IN 46123
Phone (317) 271-6363

8244 E US Highway 36
Ste 1340
Avon, IN 46123
Phone (317) 520-5510

8244 E US Highway 36
Ste 1100
Avon, IN 46123
Phone (317) 272-7500

1100 Southfield Dr
Ste 1370
Plainfield, IN 46168
Phone (317) 837-5570

Interoperability endpoints

  • FHIR API: https://sehproxy.stelizabeth.com/arr-fhir/api/FHIR/R4

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": "1204588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1750551859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 SOUTHFIELD DR",
            "address_2": "SUITE 1370",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "461684498",
            "telephone_number": "317-837-5571",
            "fax_number": "317-837-5580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 SATORIL PKWY",
            "address_2": "SUITE 200",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461236405",
            "telephone_number": "317-271-6363",
            "fax_number": "317-271-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULBRICH",
        "first_name": "JAMIE",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-04",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "11013229A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200947430",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "julbrich228562@direct-PRD.stelizabeth.com",
            "affiliation": "N",
            "address_1": "301 Satoril Pkwy",
            "address_2": "Suite 200",
            "city": "Avon",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461236405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Avon, IN

Sources for this page

Verify at the official NPI Registry.