Individual provider Active NPI

Mark Robert Ogle, MD

  • Psychiatry Physician
  • Indianapolis, IN
National Provider Identifier
1801842422
Registry record updated Dec 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
IN01036907A Issued in IN
Practice address
9310 Waldemar Rd
Indianapolis, IN 46268-1134
Phone
(317) 879-1303
NPI assigned
May 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X IN01036907A IN Primary
Geriatric Psychiatry Physician 2084P0805X IN01036907A IN

Addresses

Primary practice location

9310 Waldemar Rd
Indianapolis, IN 46268-1134

Mailing address

9310 Waldemar Rd
Indianapolis, IN 46268-1134
Phone (317) 897-1303

Other practice location 1

7165 Clearvista Way
Indianapolis, IN 46256-4621
Phone (317) 621-7561

Other identifiers 1

IdentifierTypeStateIssuer
100132300MedicaidIN

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
I20050830000730 IN Practitioner - PsychiatryPractitioner - Geriatric Psychiatry 0446281380 Practice locations: Indianapolis, IN

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Geriatric Psychiatry
Education
Indiana University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

9310 Waldemar Rd
Indianapolis, IN 46268-1134
Phone (317) 879-1303

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
23.01 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
76.7

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
IN01036907AINMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Osman Clinic & Associates, P.C. PastSince Dec 22, 2019 Accepting new patients
St. Vincent Hospital & Health Care Center, Inc. Past Accepting new patients
St. Vincent Hospital & Health Care Center, Inc. Psychiatry PastSince Mar 1, 2010 Accepting new patients
Community Health Network, Inc. Past Accepting new patients

Organizations & group practices 4

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": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576627200000",
    "number": "1801842422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9310 WALDEMAR RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462681134",
            "telephone_number": "317-897-1303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9310 WALDEMAR RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462681134",
            "telephone_number": "317-879-1303"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7165 Clearvista Way",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462564621",
            "country_code": "US",
            "telephone_number": "317-621-7561",
            "fax_number": "317-355-6096",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OGLE",
        "first_name": "MARK",
        "middle_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "IN01036907A",
            "primary": true
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "IN",
            "license": "IN01036907A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100132300",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.