Active NPI
Tolly Elizabeth Epstein, M.D.
- Allergy & Immunology Physician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 01072065A
- Practice address
- 9002 N Meridian St Ste 107
Indianapolis, IN 46260-5349 - Phone
- (317) 848-9441
- Fax
- (317) 924-8239
- NPI assigned
- Jan 31, 2007
- Last updated
- Oct 27, 2023
- 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 |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 01072065A | IN | Primary |
Addresses
Primary practice location
9002 N Meridian St Ste 107
Indianapolis, IN 46260-5349
Mailing address
PO Box 603725
Charlotte, NC 28260-3725
Phone (828) 575-2663
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| IN1127007 | Other | IN | MEDICARE PTAN |
| IN1125007 | Other | IN | MEDICARE PTAN |
| 200991060 | Medicaid | IN |
Other names 1
- Dr. Tolly Elizabeth Goldberg-Epstein
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
Care Compare profile
Medicare Care Compare- Specialty
- Allergy/Immunology
- Education
- Indiana University School of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9002 N Meridian St
Suite 107
Indianapolis, IN 46260-5349
Phone (317) 848-4070
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allergy Partners, PLLC | Allergy & Immunology | Current | Accepting new patients |
| Major Hospital | Past | Accepting new patients | |
| University Internal Medicine Associates, Inc. | Past | Accepting new patients | |
| Bernstein Allergy Group Inc | Allergy & Immunology | Past | Accepting new patients |
Locations
6781 E US Highway 36
Ste 300
Avon, IN 46123
Phone (317) 272-8095
8012 E 10th St
Ste A
Indianapolis, IN 46219
Phone (317) 355-6020
9002 N Meridian St
Ste 107
Indianapolis, IN 46260
Phone (317) 848-4070
Interoperability endpoints
- https://api.platform.athenahealth.com/3685/brand/1/csg/1/fhir/r4
Organizations & group practices 4
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.
-
dba Allergy Partners of Central Indiana
- Allergy & Immunology Physician
- Indianapolis, IN
- NPI 1881946390
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
-
- Allergy & Immunology Physician
- Cincinnati, OH
- NPI 1811996549
-
- Internal Medicine Physician
- Cincinnati, OH
- NPI 1588620850
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Danville, IN
- NPI 1669475950
-
dba Indiana University Health
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1144266024
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698364800000",
"number": "1851438816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 603725",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282603725",
"telephone_number": "828-575-2663",
"fax_number": "828-350-2174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9002 N MERIDIAN ST STE 107",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462605349",
"telephone_number": "317-848-9441",
"fax_number": "317-924-8239"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EPSTEIN",
"first_name": "TOLLY",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-31",
"last_updated": "2023-10-27",
"certification_date": "2023-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "IN",
"license": "01072065A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "IN1127007",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "IN1125007",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200991060",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TOLLY",
"last_name": "GOLDBERG-EPSTEIN",
"middle_name": "ELIZABETH",
"prefix": "DR.",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.