Individual provider Active NPI

Blair Macphail, MD

  • Cardiovascular Disease Physician
  • Goshen, IN
National Provider Identifier
1760440127
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
01039182A Issued in IN
Practice address
1855 S Main St
Ste a
Goshen, IN 46526-4852
Phone
(574) 533-7476
NPI assigned
May 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 01039182A IN Primary

Addresses

Primary practice location

1855 S Main St
Ste a
Goshen, IN 46526-4852

Mailing address

1855 S Main St
Ste a
Goshen, IN 46526-4852

Other identifiers 2

IdentifierTypeStateIssuer
100101820MedicaidIN
P01678724OtherINRR PTAN

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address blair.macphail.p1@direct.goshenphysicians.nextgenshare.com Health Information Exchange (HIE)
Direct Messaging Address blair.macphail@goshenhealthdirect.com Health Information Exchange (HIE)

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
I20041005000095 IN Practitioner - Cardiovascular Disease (Cardiology) 2567421787 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Indiana University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Goshen Health System IncGroup PAC ID 4880598572, 135 clinicians
Goshen Hospital Association IncGroup PAC ID 5991770695, 10 clinicians

Practice addresses (Care Compare)

1855 S Main St
Suite a
Goshen, IN 46526-4853
Phone (574) 533-7476

200 High Park Ave
Goshen, IN 46526-4810
Phone (219) 533-2141

200 High Park Ave
Goshen, IN 46526-4899

Hospital & facility affiliations

  • Goshen Hospital Hospital, Goshen, IN, CCN 150026
  • Parkview Noble Hospital Hospital, Kendallville, IN, CCN 150146
  • Elkhart General Hospital Hospital, Elkhart, IN, CCN 150018
  • Community Hospital of Bremen Inc Hospital, Bremen, IN, CCN 151300

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting56

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Physicians of Indiana Inc CurrentSince Jun 1, 2016 Accepting new patients
Indiana University Health Care Associates, Inc CurrentSince Jun 17, 2013 Accepting new patients
Goshen Hospital Association Inc CurrentSince Apr 17, 2017 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Jun 1, 2016 Accepting new patients
Indiana Heart Associates PC Cardiovascular Disease Past Accepting new patients
Community Howard Physician Network, LLC Past Accepting new patients
Goshen Hospital Association Inc PastSince Sep 23, 2021 Accepting new patients
University Medical Diagnostic Associates, Inc. Cardiovascular Disease Past Accepting new patients

Locations

5208 Reliable Pkwy
Chicago, IL 60686

5819 Reliable Pkwy
Chicago, IL 60686

1210 Medical Arts Blvd
Ste 114
Anderson, IN 46011
Phone (765) 298-4425

13121 Olio Rd
Ste 100
Fishers, IN 46037
Phone (317) 355-2050

1855 S Main St
Ste B
Goshen, IN 46526
Phone (574) 364-1000

200 High Park Ave
Goshen, IN 46526
Phone (219) 533-2141

720 N Lincoln St
Greensburg, IN 47240
Phone (812) 522-2349

8075 N Shadeland Ave
#320
Indianapolis, IN 46250
Phone (317) 621-9700

1701 N Senate Blvd
Bldg C6
Indianapolis, IN 46202
Phone (913) 962-2000

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

1400 N Ritter Ave
#521
Indianapolis, IN 46219
Phone (317) 355-1240

3510 S Lafountain St
Kokomo, IN 46902
Phone (765) 864-5760

208 Corwin Ln
Kokomo, IN 46902
Phone (765) 453-8567

3500 S Lafountain St
Kokomo, IN 46902
Phone (765) 453-0702

2209 John R Wooden Dr
Martinsville, IN 46151
Phone (765) 342-3364

1000 S Main St
Tipton, IN 46072
Phone (765) 675-8500

Interoperability endpoints

  • Direct secure messaging: blair.macphail@goshenhealthdirect.com

Organizations & group practices 10

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 4

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1760440127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 S MAIN ST",
            "address_2": "STE A",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465264852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 S MAIN ST",
            "address_2": "STE A",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465264852",
            "telephone_number": "574-533-7476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACPHAIL",
        "first_name": "BLAIR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "01039182A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100101820",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR PTAN",
            "identifier": "P01678724",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "blair.macphail.p1@direct.goshenphysicians.nextgenshare.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1855 S Main St",
            "address_2": "Ste A",
            "city": "Goshen",
            "state": "IN",
            "country_code": "US",
            "postal_code": "465264852",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "blair.macphail@goshenhealthdirect.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1855 S Main St",
            "address_2": "Ste A",
            "city": "Goshen",
            "state": "IN",
            "country_code": "US",
            "postal_code": "465264852",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Goshen, IN

Sources for this page

Verify at the official NPI Registry.