Individual provider Active NPI

Elizabeth Ann Droege, M.D.

  • Emergency Medicine Physician
  • Monticello, IN
National Provider Identifier
1851394290
Registry record updated Jul 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
01035035A Issued in IN
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, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
200010740MedicaidIN
7571356OtherAETNA
000000357680OtherANTHEM BLUE CROSS
P01121286OtherINRAIL ROAD MEDICARE
P01121286OtherINRAILROAD 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081031000352 IN Practitioner - Emergency MedicinePractitioner - Other (Physician) 7214096544 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01035035AINMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana University Health Ball Memorial Physicians, Inc. Emergency Medicine CurrentSince Mar 1, 2018 Accepting new patients
Indiana University Health Blackford Hospital Inc CurrentSince Jul 1, 2012 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.

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

Verify at the official NPI Registry.