Individual provider Active NPI

Lydia H Ferrell, M.D.

  • Pain Medicine Physician
  • Indianapolis, IN
National Provider Identifier
1760476071
Registry record updated Apr 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
01056802A Issued in IN
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

Updated by the provider on Apr 5, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000000571185OtherINANTHEM
200526170MedicaidIN

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
I20050808000535 IN Practitioner - AnesthesiologyPractitioner - Interventional Pain ManagementPractitioner - Pain Management 3678502911 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
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

LicenseStateTypeSpecialty
01056802INMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
I. C. Pain Solutions, PC Pain Medicine CurrentSince Feb 1, 2014 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.

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

Verify at the official NPI Registry.