Kelsey Ann Cowden, DO
Individual provider Active NPI Family Medicine Physician · Indianapolis, IN
NPI 1831695071 · NPPES record last updated Apr 19, 2022
Key facts
- NPI
- 1831695071
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 02005823A (IN)
- Practice address
- 5908 E Stop 11 Rd
Indianapolis, IN 46237-8683 - Phone
- (317) 497-6800
- NPI assigned
- Apr 5, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Community Physicians of Indiana Inc
Practice addresses (Care Compare)
5908 E Stop 11 Rd
Indianapolis, IN 46237-8683
Phone (317) 497-6800
Hospital & facility affiliations
- Community Hospital South, Inc.
- Community Hospital East
- Franciscan Health Indianapolis
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210806001680 | IN | Practitioner - Family Practice | 2365797073 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Physicians of Indiana Inc | Family Medicine | Current |
Accepting new patients |
| Community Physicians of Indiana Inc | Current |
Accepting new patients | |
| Major Hospital | Past | Accepting new patients |
Locations
5819 Reliable Pkwy
Chicago, IL 60686
6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547
10122 E 10th St
Ste 100
Indianapolis, IN 46229
Phone (317) 355-5717
5908 E Stop 11 Rd
Indianapolis, IN 46237
Phone (317) 497-6800
7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444
Interoperability endpoints
- kcowden195947@ecommunitydirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 11020100A | IN | |
| Family Medicine Physician | 207Q00000X | 02005823A | IN | Yes |
Addresses
Primary practice location
5908 E Stop 11 Rd
Indianapolis, IN 46237-8683
Mailing address
6626 E 75TH St Ste 500
Indianapolis, IN 46250-2890
Other practice location 1
10122 E 10th St Ste 100
Indianapolis, IN 46229
Phone (317) 355-5717
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 266180F58 | Other | IN | MEDICARE INDIVIDUAL PTAN |
| 300014770 | Medicaid | IN | |
| Q00246517 | Other | IN | RAILROAD MEDICARE |
Other providers in Indianapolis, IN
- Jay E. Cowan
- Makenzie Cowan
- Markus Cowan
- Donovan Cowans
- Cowden Mentoring Group
- Kerry Cowden
- Annika Cowherd
- Owen Cowherd
- Stacy Lynn Cowherd
- Hannah Beth Cowles
All providers in Indianapolis, IN · Family Medicine Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 19, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.