Individual provider Active NPI

John Eliades, MD

  • Surgery Physician
  • Muncie, IN
National Provider Identifier
1801861844
Registry record updated Dec 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
IN01030028 Issued in IN
Practice address
2525 W University Ave
Muncie, IN 47303
Phone
(765) 284-7703
Fax
(765) 284-6838
NPI assigned
Feb 22, 2006
Last updated
Dec 30, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X IN01030028 IN Primary

Addresses

Primary practice location

2525 W University Ave
Muncie, IN 47303

Mailing address

1200 W White River Blvd
Muncie, IN 47303-4988

Other identifiers 2

IdentifierTypeStateIssuer
P01120508OtherINRAILROAD MEDICARE
100105640AMedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jeliades@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
I20041112001112 IN Practitioner - General Surgery 3678537321 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
State University of New York Downstate Medical Center, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iu Health Medical Group LLCGroup PAC ID 9638617913, 4,382 clinicians

Practice addresses (Care Compare)

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

221 N Celia Ave
Muncie, IN 47303-4609
Phone (765) 747-3141

2525 W University Ave
Muncie, IN 47303-3421
Phone (765) 747-3111

2901 W Jackson St
Muncie, IN 47304-4307
Phone (765) 751-5010

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue265
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
IN01030028INMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana University Health Ball Memorial Physicians, Inc. Surgery CurrentSince Jun 1, 2011 Accepting new patients
Iu Health Medical Group, LLC CurrentSince Oct 1, 2025 Accepting new patients
Associates in Surgery of Muncie Surgery CurrentSince Jul 1, 1980 Accepting new patients
Indiana University Health Ball Memorial Physicians, Inc. Past Accepting new patients

Locations

3832 Solutions Ctr
Chicago, IL 60677

410 Pilgrim Blvd
Hartford City, IN 47348
Phone (317) 962-4272

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

1200 W White River Blvd
Muncie, IN 47303
Phone (765) 254-4009

1812 W Royale Dr
Muncie, IN 47304
Phone (317) 284-6838

221 N Celia Ave
Muncie, IN 47303
Phone (765) 747-3141

2525 W University Ave
Muncie, IN 47303
Phone (317) 289-6166

2525 W University Ave
Ste 403
Muncie, IN 47303
Phone (317) 289-6381

2901 W Jackson St
Muncie, IN 47304
Phone (765) 286-3900

500 W Votaw St
Portland, IN 47371
Phone (260) 726-6515

Interoperability endpoints

  • Direct secure messaging: jeliades@direct.iuhealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609286400000",
    "number": "1801861844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 W WHITE RIVER BLVD",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473034988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 W UNIVERSITY AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "47303",
            "telephone_number": "765-284-7703",
            "fax_number": "765-284-6838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELIADES",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IN",
            "license": "IN01030028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01120508",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100105640A",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jeliades@direct.iuhealth.org",
            "affiliation": "N",
            "address_1": "2525 W University Ave",
            "city": "Muncie",
            "state": "IN",
            "country_code": "US",
            "postal_code": "47303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Muncie, IN

Sources for this page

Verify at the official NPI Registry.