Individual provider Active NPI

Erris Marie Rowan, DO

  • Pediatrics Physician
  • Indianapolis, IN
National Provider Identifier
1831775394
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
02007514A Issued in IN
Practice address
5629 Lee Rd
Indianapolis, IN 46216-2003
Phone
(317) 415-6450
NPI assigned
Mar 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 02007514A IN Primary

Addresses

Primary practice location

5629 Lee Rd
Indianapolis, IN 46216-2003

Mailing address

5629 Lee Rd
Indianapolis, IN 46216-2003

Other practice location 1

2001 W 86th St Ste 200
Indianapolis, IN 46260-1902
Phone (317) 338-7510

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
I20240518000247 IN Practitioner - Pediatric Medicine 7810399664 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincent Medical Group, Inc. Pediatrics CurrentSince Jul 1, 2024 Accepting new patients
St. Vincent Medical Group, Inc. CurrentSince Jul 1, 2024 Accepting new patients
St Vincent Medical Group Inc Past Accepting new patients

Locations

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

250 W 96th St
Ste 520
Indianapolis, IN 46260
Phone (317) 583-3211

2001 W 86th St
Ste 200
Indianapolis, IN 46260

5629 Lee Rd
Indianapolis, IN 46216
Phone (317) 415-6450

Interoperability endpoints

  • Direct secure messaging: erris.rowan.2@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.

NPI Registry JSON

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

{
    "created_epoch": "1616457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1831775394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5629 LEE RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462162003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5629 LEE RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462162003",
            "telephone_number": "317-415-6450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 W 86th St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462601902",
            "country_code": "US",
            "telephone_number": "317-338-7510",
            "fax_number": "317-338-7541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROWAN",
        "first_name": "ERRIS",
        "middle_name": "MARIE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-23",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "02007514A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.