Individual provider Active NPI

Tamera Lyn Vandegriff, MD

  • Family Medicine Physician
  • Frankfort, IN
National Provider Identifier
1861454076
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01057931A Issued in IN
Practice address
2485 E Wabash St
Frankfort, IN 46041-9400
Phone
(765) 659-7400
Fax
(765) 659-7408
NPI assigned
Apr 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01057931A IN Primary

Addresses

Primary practice location

2485 E Wabash St
Frankfort, IN 46041-9400

Mailing address

6920 Pointe Inverness Way Ste 200
Fort Wayne, IN 46804-7934
Phone (260) 479-3513

Other identifiers 1

IdentifierTypeStateIssuer
200449770MedicaidIN

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
I20041115000801 IN Practitioner - Family Practice 5496719973 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Indiana University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Witham Memorial HospitalGroup PAC ID 4082523170, 107 clinicians

Practice addresses (Care Compare)

2485 E Wabash St
Suite 110
Frankfort, IN 46041-9400
Phone (765) 659-7400

Hospital & facility affiliations

  • Suburban Home Health LLC Home health agency, Noblesville, IN, CCN 157092
  • Physiocare Home Healthcare LLC Home health agency, West Lafayette, IN, CCN 157624
  • Witham Health Services Hospital, Lebanon, IN, CCN 150104
  • Indiana University Health Frankfort Inc Hospital, Frankfort, IN, CCN 151316
  • Ascension St Vincent Carmel Hospital, Carmel, IN, CCN 150157

Merit-based Incentive Payment System (MIPS)

Final score
95.71 of 100Reported as apm
Quality
82.58
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
90.99 of 100Reported as apm
Quality
77.41
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01057931AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Witham Memorial Hospital CurrentSince Nov 18, 2024 Accepting new patients
Witham Memorial Hospital Family Medicine CurrentSince Nov 18, 2024 Accepting new patients
Emergency Physicians of Indianapolis, PC Past Accepting new patients
Major Hospital Past Accepting new patients
Rush Memorial Hospital Past Accepting new patients

Locations

2485 E Wabash St
Ste 110
Frankfort, IN 46041
Phone (765) 659-7400

2505 N Lebanon St
Ste 220
Lebanon, IN 46052
Phone (765) 482-8649

1650 W Oak St
Ste 101
Zionsville, IN 46077
Phone (317) 733-6300

Organizations & group practices 5

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1861454076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6920 POINTE INVERNESS WAY STE 200",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468047934",
            "telephone_number": "260-479-3513",
            "fax_number": "260-479-3520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2485 E WABASH ST",
            "city": "FRANKFORT",
            "state": "IN",
            "postal_code": "460419400",
            "telephone_number": "765-659-7400",
            "fax_number": "765-659-7408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDEGRIFF",
        "first_name": "TAMERA",
        "middle_name": "LYN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-04",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01057931A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200449770",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankfort, IN

Sources for this page

Verify at the official NPI Registry.