Active NPI
Elizabeth Ann Droege, M.D.
- Emergency Medicine Physician
- Monticello, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 01035035A
- Practice address
- 826 N 6TH St
Monticello, IN 47960-1752 - Phone
- (574) 583-3333
- Fax
- (574) 583-2896
- NPI assigned
- May 31, 2005
- Last updated
- Jul 10, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 01035035A | IN | Primary |
Addresses
Primary practice location
826 N 6TH St
Monticello, IN 47960-1752
Mailing address
826 N 6TH St
Monticello, IN 47960-1752
Phone (574) 583-3333
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200010740 | Medicaid | IN | |
| 7571356 | Other | AETNA | |
| 000000357680 | Other | ANTHEM BLUE CROSS | |
| P01121286 | Other | IN | RAIL ROAD MEDICARE |
| P01121286 | Other | IN | RAILROAD MEDICARE |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01035035A | IN | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indiana University Health Ball Memorial Physicians, Inc. | Emergency Medicine | Current | Accepting new patients |
| Indiana University Health Blackford Hospital Inc | Current | Accepting new patients | |
| Preferred Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
Locations
3832 Solutions Ctr
Chicago, IL 60677
3926 Solutions Ctr
Chicago, IL 60677
400 Pilgrim Blvd
Hartford City, IN 47348
Phone (765) 348-4989
410 Pilgrim Blvd
Hartford City, IN 47348
Phone (317) 962-4272
1200 W White River Blvd
Muncie, IN 47303
Phone (765) 254-4009
221 N Celia Ave
Muncie, IN 47303
Phone (765) 747-3141
1758 W 100 S
Portland, IN 47371
Phone (260) 726-1814
500 W Votaw St
Portland, IN 47371
Phone (260) 726-6515
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Muncie, IN
- NPI 1235455544
Emergency Medicine
-
- Physical Therapist
- Hartford City, IN
- NPI 1265021109
-
- Emergency Medicine Physician
- Portland, IN
- NPI 1457302077
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404950400000",
"number": "1851394290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "826 N 6TH ST",
"city": "MONTICELLO",
"state": "IN",
"postal_code": "479601752",
"telephone_number": "574-583-3333",
"fax_number": "574-583-2896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "826 N 6TH ST",
"city": "MONTICELLO",
"state": "IN",
"postal_code": "479601752",
"telephone_number": "574-583-3333",
"fax_number": "574-583-2896"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DROEGE",
"first_name": "ELIZABETH",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-05-31",
"last_updated": "2014-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IN",
"license": "01035035A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200010740",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7571356",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS",
"identifier": "000000357680",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "P01121286",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01121286",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Monticello, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.