Individual provider Active NPI

Megan Beth Marine, MD

  • Diagnostic Radiology Physician
  • Indianapolis, IN
National Provider Identifier
1780845941
Registry record updated Feb 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
01066841A Issued in IN
Practice address
550 University Blvd RM 641
Indianapolis, IN 46202-5149
Phone
(317) 278-2449
NPI assigned
Jun 20, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 01066841A IN Primary
Diagnostic Radiology Physician 2085R0202X 11013727A IN

Addresses

Primary practice location

550 University Blvd RM 641
Indianapolis, IN 46202-5149

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other identifiers 1

IdentifierTypeStateIssuer
201070450MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mmarine@direct.iuhealth.org

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
I20120622000278 IN Practitioner - Diagnostic Radiology 6406011527 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Indiana University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iu Health Medical Group LLCGroup PAC ID 9638617913, 4,382 clinicians
Indiana University Radiology Associates IncGroup PAC ID 7315922267, 213 clinicians
Iu Health Medical Group Riley Specialists LLCGroup PAC ID 9638669815, 285 clinicians

Practice addresses (Care Compare)

1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258

642 W Hospital Rd
Iu Health Paoli Hospital
Paoli, IN 47454-9672
Phone (812) 723-2811

705 Riley Hospital Dr
Indianapolis, IN 46202-5109
Phone (888) 484-3258

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11013727AINMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Iu Health Medical Group, LLC CurrentSince Oct 1, 2025 Accepting new patients
Indiana University Radiology Associates, Inc. Diagnostic Radiology CurrentSince Jul 1, 2012 Accepting new patients
Iu Health Medical Group Riley Specialists, LLC CurrentSince Jan 1, 2026 Accepting new patients

Locations (25 of 81)

5924 Reliable Pkwy
Chicago, IL 60686

2610 Enterprise Dr
Anderson, IN 46013
Phone (765) 608-3608

416 E Maumee St
Angola, IN 46703
Phone (260) 665-2141

1111 Ronald Reagan Pkwy
Avon, IN 46123
Phone (317) 217-3000

1115 Ronald Reagan Pkwy
Ste 206
Avon, IN 46123
Phone (317) 217-2888

1115 Ronald Reagan Pkwy
Ste 141
Avon, IN 46123
Phone (317) 217-2700

2900 16th St
Bedford, IN 47421
Phone (812) 275-1200

2605 E Creeks Edge Dr
Bloomington, IN 47401
Phone (812) 333-2663

2651 E Discovery Pkwy
Bloomington, IN 47408
Phone (812) 353-9147

3443 W 3rd St
Bloomington, IN 47404
Phone (812) 334-3443

601 W 2nd St
Bloomington, IN 47403
Phone (812) 353-5252

350 S Landmark Ave
Bloomington, IN 47403
Phone (812) 332-9874

2425 N Milo Sampson Ln
Bloomington, IN 47408
Phone (812) 349-5074

995 S Clarizz Blvd
Bloomington, IN 47401
Phone (812) 353-3060

583 S Clarizz Blvd
Bloomington, IN 47401
Phone (812) 333-2663

326 S Woodscrest Dr
Bloomington, IN 47401
Phone (812) 353-6888

550 S Landmark Ave
Bloomington, IN 47403
Phone (812) 330-3688

4935 W Arlington Rd
Bloomington, IN 47404
Phone (812) 353-3743

1520 S Liberty Dr
Bloomington, IN 47403
Phone (812) 676-4300

1302 S Rogers St
Bloomington, IN 47403
Phone (812) 333-2663

500 S Landmark Ave
Bloomington, IN 47403
Phone (812) 333-7676

1375 N Green St
Ste 200
Brownsburg, IN 46112
Phone (317) 688-2000

11700 N Meridian St
Carmel, IN 46032
Phone (317) 688-2000

11725 Illinois St
Carmel, IN 46032
Phone (317) 617-4808

11725 Illinois St
Ste 275
Carmel, IN 46032
Phone (317) 688-4864

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 1

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": "1213920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612915200000",
    "number": "1780845941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 UNIVERSITY BLVD RM 641",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462025149",
            "telephone_number": "317-278-2449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINE",
        "first_name": "MEGAN",
        "middle_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-20",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "01066841A",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "11013727A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201070450",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmarine@direct.iuhealth.org",
            "affiliation": "N",
            "address_1": "550 University Blvd Rm 641",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462025149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.