Individual provider Active NPI

Thomas William Alley, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Indianapolis, IN
National Provider Identifier
1831136878
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
01020069A Issued in IN
Practice address
8780 Purdue Rd
Suite 7
Indianapolis, IN 46268-6129
Phone
(317) 471-8701
Fax
(317) 471-8702
NPI assigned
May 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 01020069A IN Primary
Emergency Medicine Physician 207P00000X 01020069A IN

Addresses

Primary practice location

8780 Purdue Rd
Suite 7
Indianapolis, IN 46268-6129

Mailing address

8780 Purdue Rd
Suite 7
Indianapolis, IN 46268-6129
Phone (317) 471-8701

Other identifiers 2

IdentifierTypeStateIssuer
01020069BOtherINCSR
01020069AOtherININDIANA LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01020069AINMDGeriatric Medicine (Family Medicine) Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1831136878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8780 PURDUE RD",
            "address_2": "SUITE 7",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462686129",
            "telephone_number": "317-471-8701",
            "fax_number": "317-471-8702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8780 PURDUE RD",
            "address_2": "SUITE 7",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462686129",
            "telephone_number": "317-471-8701",
            "fax_number": "317-471-8702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEY",
        "first_name": "THOMAS",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "IN",
            "license": "01020069A",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01020069A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSR",
            "identifier": "01020069B",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIANA LICENSE",
            "identifier": "01020069A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.