Active NPI
Thayer Starr Phelan, MD
- Emergency Medicine Physician
- Winslow, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- DR.0053427
- Practice address
- 1501 N Williamson Ave
Winslow, AZ 86047-2735 - Phone
- (928) 289-4691
- NPI assigned
- May 25, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 75374 | AZ | |
| Emergency Medicine Physician | 207P00000X | DR.0053427 | CO | Primary |
| Emergency Medicine Physician | 207P00000X | 01098090A | IN |
Addresses
Primary practice location
1501 N Williamson Ave
Winslow, AZ 86047-2735
Mailing address
250 N Shadeland Ave
Indianapolis, IN 46219-4959
Other practice location 1
2651 E Discovery Pkwy
Bloomington, IN 47408-9059
Phone (812) 353-9515
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09892 | Medicaid | LA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tphelan@direct.iuhealth.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME, CO, IL, AZ, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1501 N Williamson Ave
Winslow, AZ 86047-2735
Phone (844) 466-6827
2651 E Discovery Pkwy
Bloomington, IN 47408-9059
Phone (812) 353-9250
Hospital & facility affiliations
- Little Colorado Medical Center
- Indiana University Health Bedford Hospital
- Indiana University Health Bloomington Hospital
- Indiana University Health Paoli Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01098090A | IN | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indiana University Health Southern Indiana Physicians LLC | Current | Accepting new patients | |
| Iu Health Medical Group, LLC | Current | Accepting new patients | |
| Passavant Memorial Area Hospital Association | Current | Accepting new patients | |
| Indiana University Health Southern Indiana Physicians, LLC | Emergency Medicine | Current | Accepting new patients |
| Innova Emergency Medical Associates PC | Emergency Medicine | Current | Accepting new patients |
| Emergency Medicine Services of Maine, LLC | Emergency Medicine | Current | Accepting new patients |
| VMD Primary Providers Colorado, Inc | Family Medicine | Current | Accepting new patients |
| Passavant Memorial Area Hospital Association | Family Medicine | Current | Accepting new patients |
| Emergency Professionals of Colorado, PC | Emergency Medicine | Past | Accepting new patients |
| Emergency Professionals of Colorado, PC | Emergency Medicine | Past | Accepting new patients |
| Emergency Professionals of Colorado, PC | Emergency Medicine | Past | Accepting new patients |
| Frontier Emergency Physicians, LLP | Emergency Medicine | Past | Accepting new patients |
Locations
3269 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 757-0626
1501 N Williamson Ave
Winslow, AZ 86047
Phone (928) 289-4691
3519 Richmond Dr
Fort Collins, CO 80526
Phone (970) 204-0300
151 W Lake St
Ste 1500
Fort Collins, CO 80524
Phone (970) 237-8200
1300 Riverside Ave
Ste 102
Fort Collins, CO 80524
Phone (970) 224-1670
9878 W Belleview Ave
Littleton, CO 80123
Phone (303) 978-1316
1600 W Walnut St
South Jacksonville, IL 62650
Phone (217) 245-7275
727 W 2nd St
Bloomington, IN 47403
Phone (812) 353-3450
2651 E Discovery Pkwy
Bloomington, IN 47408
Phone (812) 353-9147
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
50 Union St
Ellsworth, ME 04605
Phone (207) 664-5304
447 N Main St
Pittsfield, ME 04967
Phone (207) 487-0981
Organizations & group practices 15
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.
-
- Multi-Specialty Clinic/Center
- Bloomington, IN
- NPI 1013953983
Emergency Medicine
-
- General Practice Physician
- Indianapolis, IN
- NPI 1326893777
-
- Emergency Medicine Physician
- Ellsworth, ME
- NPI 1578032058
-
- Internal Medicine Physician
- Jacksonville, IL
- NPI 1760994040
Family Medicine
-
- Primary Care Clinic/Center
- Fort Collins, CO
- NPI 1275646614
Family Medicine
-
- Emergency Medicine Physician
- Loveland, CO
- NPI 1396496469
-
- Emergency Medicine Physician
- Springfield, IL
- NPI 1245263367
-
- Critical Access Hospital
- Jacksonville, IL
- NPI 1174580831
-
- Durable Medical Equipment & Medical Supplies
- Bloomington, IN
- NPI 1063179844
-
- Multi-Specialty Clinic/Center
- Jacksonville, IL
- NPI 1235864810
-
- Emergency Medicine Physician
- Greeley, CO
- NPI 1306421201
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Winslow, AZ
- NPI 1477653889
-
- Critical Access Hospital
- Bedford, IN
- NPI 1548260284
-
- General Acute Care Hospital
- Bloomington, IN
- NPI 1205860335
-
- Critical Access Hospital
- Paoli, IN
- NPI 1912984451
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765324800000",
"number": "1821209354",
"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": "1501 N WILLIAMSON AVE",
"city": "WINSLOW",
"state": "AZ",
"postal_code": "860472735",
"telephone_number": "928-289-4691"
}
],
"practiceLocations": [
{
"address_1": "2651 E Discovery Pkwy",
"address_purpose": "LOCATION",
"city": "Bloomington",
"state": "IN",
"postal_code": "474089059",
"country_code": "US",
"telephone_number": "812-353-9515",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PHELAN",
"first_name": "THAYER",
"middle_name": "STARR",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-25",
"last_updated": "2025-12-10",
"certification_date": "2025-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AZ",
"license": "75374",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CO",
"license": "DR.0053427",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IN",
"license": "01098090A",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "09892",
"state": "LA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tphelan@direct.iuhealth.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2651 E Discovery Pkwy",
"city": "Bloomington",
"state": "IN",
"country_code": "US",
"postal_code": "474089059",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Winslow, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.