Individual provider Active NPI

Austin Martin Henderson, MD

  • Family Medicine Physician
  • Carmel, IN
National Provider Identifier
1831719863
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01089885A Issued in IN
Practice address
310 Medical Dr Ste 101
Carmel, IN 46032-3078
Phone
(317) 415-6350
Fax
(317) 415-6351
NPI assigned
Apr 20, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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 01089885A IN Primary

Addresses

Primary practice location

310 Medical Dr Ste 101
Carmel, IN 46032-3078

Mailing address

310 Medical Dr Ste 101
Carmel, IN 46032-3078

Other practice location 1

1520 N Senate Ave Dept Of
Indianapolis, IN 46202-2213
Phone (317) 963-3030

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address austin.henderson.1@7598.direct.athenahealth.com St. Vincent Medical Group, Inc.

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
I20230727000965 IN Practitioner - Family Practice 4183045594 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Mississippi School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Vincent Medical Group IncGroup PAC ID 7012047640, 728 clinicians

Practice addresses (Care Compare)

310 Medical Dr
Suite 101
Carmel, IN 46032-3078
Phone (317) 415-6350

Hospital & facility affiliations

  • Ascension at Home Home health agency, Indianapolis, IN, CCN 157083
  • Ascension St Vincent Carmel Hospital, Carmel, IN, CCN 150157
  • Ascension St Vincent Hospital Hospital, Indianapolis, IN, CCN 150084
  • Ascension St Vincent Fishers Hospital, Fishers, IN, CCN 150181

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincent Medical Group, Inc. Family Medicine CurrentSince Sep 1, 2024 Accepting new patients
St. Vincent Medical Group, Inc. CurrentSince Sep 1, 2024 Accepting new patients
St Vincent Medical Group Inc Past Accepting new patients

Locations

310 Medical Dr
Ste 101
Carmel, IN 46032
Phone (317) 415-6350

8433 Harcourt Rd
Ste 100
Indianapolis, IN 46260
Phone (317) 583-7702

150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211

Interoperability endpoints

  • Direct secure messaging: austin.henderson.1@7598.direct.athenahealth.com

Organizations & group practices 3

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 5

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": "1587340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1831719863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 MEDICAL DR STE 101",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460323078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 MEDICAL DR STE 101",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460323078",
            "telephone_number": "317-415-6350",
            "fax_number": "317-415-6351"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1520 N Senate Ave Dept Of",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462022213",
            "country_code": "US",
            "telephone_number": "317-963-3030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "AUSTIN",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-20",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01089885A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "austin.henderson.1@7598.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "St. Vincent Medical Group, Inc.",
            "address_1": "310 Medical Dr Ste 101",
            "city": "Carmel",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460323078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.