Individual provider Active NPI

John Stearley, MD

  • Family Medicine Physician
  • Gosport, IN
National Provider Identifier
1811949175
Registry record updated Feb 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01028362 Issued in IN
Practice address
3 E Main Street
Gosport, IN 47402
Phone
(812) 879-4222
Fax
(812) 879-4834
NPI assigned
May 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01028362 IN Primary

Addresses

Primary practice location

3 E Main Street
Gosport, IN 47402

Mailing address

3 E Main Street
Gosport, IN 47402
Phone (812) 879-4222

Other identifiers 1

IdentifierTypeStateIssuer
100195250AMedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address JSTEARLEY@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
I20100630000737 IN Practitioner - Family Practice 7113058413 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Pennsylvania State University College of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

707 W 2ND St
Bloomington, IN 47403-2209
Phone (888) 484-3258

719 W 2ND St
Bloomington, IN 47403-2209
Phone (888) 484-3258

727 W 2ND St
Bloomington, IN 47403-2209
Phone (888) 484-3258

926 W State Hwy 46
Iu Health Southern Indiana Physcia
Spencer, IN 47460-6749
Phone (888) 484-3258

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01028362INMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana University Health Southern Indiana Physicians, LLC Family Medicine CurrentSince Jan 1, 1998 Accepting new patients
Indiana University Health Southern Indiana Physicians LLC CurrentSince Jan 1, 1998 Accepting new patients

Locations

727 W 2nd St
Bloomington, IN 47403
Phone (812) 353-3450

7 E Main St
Gosport, IN 47433
Phone (812) 879-4222

3 E Main St
Gosport, IN 47433
Phone (812) 879-4222

Interoperability endpoints

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

Organizations & group practices 2

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1811949175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 E MAIN STREET",
            "city": "GOSPORT",
            "state": "IN",
            "postal_code": "47402",
            "telephone_number": "812-879-4222",
            "fax_number": "812-879-4834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 E MAIN STREET",
            "city": "GOSPORT",
            "state": "IN",
            "postal_code": "47402",
            "telephone_number": "812-879-4222",
            "fax_number": "812-879-4834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEARLEY",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2021-02-02",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01028362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100195250A",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JSTEARLEY@direct.iuhealth.org",
            "affiliation": "N",
            "address_1": "7 E Main St",
            "city": "Gosport",
            "state": "IN",
            "country_code": "US",
            "postal_code": "474337034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gosport, IN

Sources for this page

Verify at the official NPI Registry.