Active NPI
Lydia H Ferrell, M.D.
- Pain Medicine Physician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- 01056802A
- Practice address
- 6325 S East St
Indianapolis, IN 46227-7110 - Phone
- (317) 781-0067
- Fax
- (317) 791-1242
- NPI assigned
- Sep 1, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 01056802 | IN | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 01056802A | IN | |
| Pain Medicine Physician | 208VP0000X | 01056802A | IN | Primary |
Addresses
Primary practice location
6325 S East St
Indianapolis, IN 46227-7110
Mailing address
PO Box 3046
Indianapolis, IN 46206-3046
Phone (317) 567-2180
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000571185 | Other | IN | ANTHEM |
| 200526170 | 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
- Anesthesiology
- Education
- Indiana University School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
6447 S E St
Suite a
Indianapolis, IN 46227-2119
Phone (317) 781-0067
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01056802 | IN | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| I. C. Pain Solutions, PC | Pain Medicine | Current | Accepting new patients |
| Community Anesthesia Associates, PC | Anesthesiology | Past | Accepting new patients |
| Wishard Anesthesia Group, LLC | Anesthesiology | Past | Accepting new patients |
| Major Hospital | Past | Accepting new patients | |
| Clear Tones Hearing | Past | Accepting new patients |
Locations
1250 E County Line Rd
Indianapolis, IN 46227
Phone (317) 781-0067
6325 S East St
Indianapolis, IN 46227
Phone (317) 781-0067
6447 S East St
Ste A
Indianapolis, IN 46227
Phone (317) 781-0067
Organizations & group practices 5
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333584000000",
"number": "1760476071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3046",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462063046",
"telephone_number": "317-567-2180",
"fax_number": "317-614-9655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6325 S EAST ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462277110",
"telephone_number": "317-781-0067",
"fax_number": "317-791-1242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERRELL",
"first_name": "LYDIA",
"middle_name": "H",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-09-01",
"last_updated": "2012-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IN",
"license": "01056802",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "IN",
"license": "01056802A",
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "IN",
"license": "01056802A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000571185",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200526170",
"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 Apr 5, 2012; 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.