Individual provider Active NPI

Gregory A Rowdon, MD

  • Sports Medicine (Internal Medicine) Physician
  • Lafayette, IN
National Provider Identifier
1770570616
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0010X
License
01038394A Issued in IN
Practice address
3001 S Creasy LN Ste 100a
Lafayette, IN 47905-5206
Phone
(765) 420-5800
Fax
(765) 420-5801
NPI assigned
Oct 5, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 010138394A IN
Sports Medicine (Internal Medicine) Physician 207RS0010X 01038394A IN Primary

Addresses

Primary practice location

3001 S Creasy LN Ste 100a
Lafayette, IN 47905-5206

Mailing address

PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800

Other practice location 1

900 N John R Wooden Dr
West Lafayette, IN 47907-2117
Phone (765) 494-3245

Other identifiers 2

IdentifierTypeStateIssuer
100461040MedicaidIN
000000191311OtherANTHEM BLUECROSS/BLUESHIE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address growdon398650@Direct.FranciscanAlliance.org Direct

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
I20180604000841 IN Practitioner - Sports Medicine 3678838117 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sports Medicine
Education
University of Kansas School of Med (KC/Wich/Sal), 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Franciscan Physician NetworkGroup PAC ID 3072790682, 1,152 clinicians

Practice addresses (Care Compare)

3001 S Creasy LN
Suite 100a
Lafayette, IN 47905-5206
Phone (765) 420-5800

Hospital & facility affiliations

  • Franciscan Health Lafayette Hospital, Lafayette, IN, CCN 150109
  • Franciscan Health Crawfordsville Hospital, Crawfordsville, IN, CCN 150022

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01038394AINMDSports Medicine (Internal Medicine) Physician
010138394AINMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Physician Network CurrentSince Jun 1, 2018 Accepting new patients
Franciscan Physician Network CurrentSince Jun 1, 2018 Accepting new patients
Purdue Sports Medicine WL Sports Medicine Past Accepting new patients

Locations

1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120

1401 W County Line Rd
Greenwood, IN 46142
Phone (317) 217-1200

1040 Sierra Dr
Ste 400
Greenwood, IN 46143
Phone (317) 528-4886

3001 S Creasy Ln
Ste 100A
Lafayette, IN 47905
Phone (765) 420-5800

150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211

900 N John R Wooden Dr
West Lafayette, IN 47907
Phone (765) 494-3245

Interoperability endpoints

  • Direct secure messaging: growdon398650@direct.franciscanalliance.org

Organizations & group practices 3

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 3

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": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1770570616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781076",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482781076",
            "telephone_number": "317-528-4800",
            "fax_number": "317-865-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 S CREASY LN STE 100A",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479055206",
            "telephone_number": "765-420-5800",
            "fax_number": "765-420-5801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 N John R Wooden Dr",
            "address_purpose": "LOCATION",
            "city": "West Lafayette",
            "state": "IN",
            "postal_code": "479072117",
            "country_code": "US",
            "telephone_number": "765-494-3245",
            "fax_number": "765-494-9899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROWDON",
        "first_name": "GREGORY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-05",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IN",
            "license": "010138394A",
            "primary": false
        },
        {
            "code": "207RS0010X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sports Medicine",
            "state": "IN",
            "license": "01038394A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100461040",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUECROSS/BLUESHIE",
            "identifier": "000000191311",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "growdon398650@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "900 N John R Wooden Dr",
            "city": "West Lafayette",
            "state": "IN",
            "country_code": "US",
            "postal_code": "479072117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lafayette, IN

Sources for this page

Verify at the official NPI Registry.