Individual provider Active NPI

Mesghane Ghirmai Asgedom, APRN

  • Family Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1851183503
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71014935A Issued in IN
Practice address
702 Coffee Tree Cir
Indianapolis, IN 46224-6199
Phone
(317) 701-7291
Fax
(317) 701-7291
NPI assigned
May 20, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71014935A IN Primary

Addresses

Primary practice location

702 Coffee Tree Cir
Indianapolis, IN 46224-6199

Mailing address

702 Coffee Tree Cir
Indianapolis, IN 46224-6199
Phone (317) 701-7291

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250902003766 IN Practitioner - Nurse Practitioner 0143721936 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

111 E 3Rd St
Unit 764
Mishawaka, IN 46546-4038

702 Coffee Tree Cir
Indianapolis, IN 46224-6199

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
71014935AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aims-Med, LLC CurrentSince Aug 1, 2025 Accepting new patients
Aims, LLC CurrentSince Aug 1, 2025 Accepting new patients

Locations

417 S Whitlock St
Bremen, IN 46506
Phone (574) 546-0330

9330 Broadway
Crown Point, IN 46307
Phone (219) 648-2400

1167 Wilson Dr
Greenwood, IN 46143
Phone (317) 851-3101

6720 Parkdale Pl
Indianapolis, IN 46254
Phone (219) 648-2400

111 E 3rd St
Unit 764
Mishawaka, IN 46546

Organizations & group practices 2

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": "1747699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1851183503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 COFFEE TREE CIR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462246199",
            "telephone_number": "317-701-7291",
            "fax_number": "317-701-7291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 COFFEE TREE CIR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462246199",
            "telephone_number": "317-701-7291",
            "fax_number": "317-701-7291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASGEDOM",
        "first_name": "MESGHANE",
        "middle_name": "GHIRMAI",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-05-20",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71014935A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.