Individual provider Active NPI

Gayle Marie Pugh, PA-C

  • Physician Assistant
  • Indianapolis, IN
National Provider Identifier
1861557159
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10000495A Issued in IN
Practice address
950 N Meridian St
Indianapolis, IN 46204-1077
Phone
(317) 963-2200
NPI assigned
Dec 27, 2006
Last updated
Feb 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10000495A IN Primary

Addresses

Primary practice location

950 N Meridian St
Indianapolis, IN 46204-1077

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other practice location 1

2598 W White River Blvd
Muncie, IN 47303-5251
Phone (765) 747-3888

Other practice location 2

2401 W University Ave
Muncie, IN 47303-3428
Phone (765) 741-1411

Other practice location 3

9669 E 146th St Ste 100
Noblesville, IN 46060-5006
Phone (317) 621-3434

Other identifiers 3

IdentifierTypeStateIssuer
000000340098OtherINBLUE CROSS BLUE SHIELD
300018114MedicaidIN
264430E92OtherINMEDICARE PTAN

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address gpugh324966@eCommunityDirect.com Community Hospitals of Indiana, INC
Direct Messaging Address gpugh@direct.iuhealth.org Direct

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
I20110318000812 IN Practitioner - Physician Assistant 4880877497 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Iu Health Medical Group LLCGroup PAC ID 9638617913, 4,382 clinicians

Practice addresses (Care Compare)

1036 Broad Ripple Ave
Indianapolis, IN 46220-2035
Phone (317) 759-9960

1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258

90 E Garner Rd
Iu Health Urgent Care LLC
Brownsburg, IN 46112-9359
Phone (225) 214-1031

950 N Meridian St
Indianapolis, IN 46204-1077
Phone (888) 484-3258

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana University Health Urgent Care Centers, LLC CurrentSince Apr 1, 2024 Accepting new patients
Indiana University Health Urgent Care Centers, LLC. CurrentSince Apr 1, 2024 Accepting new patients
Emergency Physicians of Delaware County, P.C. Past Accepting new patients

Locations

90 E Garner Rd
Brownsburg, IN 46112
Phone (225) 214-1031

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

250 N Shadeland Ave
Ste 500
Indianapolis, IN 46219

2598 W White River Blvd
Muncie, IN 47303
Phone (765) 282-7595

Interoperability endpoints

  • Direct secure messaging: gpugh@direct.iuhealth.org
  • Direct secure messaging: gpugh1@direct.iuhealth.org
  • Direct secure messaging: gpugh324966@ecommunitydirect.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1861557159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 N MERIDIAN ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462041077",
            "telephone_number": "317-963-2200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2598 W White River Blvd",
            "address_purpose": "LOCATION",
            "city": "Muncie",
            "state": "IN",
            "postal_code": "473035251",
            "country_code": "US",
            "telephone_number": "765-747-3888",
            "fax_number": "765-288-6139",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2401 W University Ave",
            "address_purpose": "LOCATION",
            "city": "Muncie",
            "state": "IN",
            "postal_code": "473033428",
            "country_code": "US",
            "telephone_number": "765-741-1411",
            "fax_number": "765-741-1424",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9669 E 146th St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Noblesville",
            "state": "IN",
            "postal_code": "460605006",
            "country_code": "US",
            "telephone_number": "317-621-3434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUGH",
        "first_name": "GAYLE",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2024-02-06",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10000495A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000000340098",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300018114",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "264430E92",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gpugh324966@eCommunityDirect.com",
            "affiliation": "Y",
            "affiliationName": "Community Hospitals of Indiana, INC",
            "address_1": "2401 W University Ave",
            "city": "Muncie",
            "state": "IN",
            "country_code": "US",
            "postal_code": "473033428",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gpugh@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2598 W White River Blvd",
            "city": "Muncie",
            "state": "IN",
            "country_code": "US",
            "postal_code": "473035251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.