Active NPI
Tracey Ikerd, MD
- Infectious Disease Physician
- Carmel, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 01038248A
- Practice address
- 11455 N Meridian St
Suite 200
Carmel, IN 46032-1624 - Phone
- (317) 582-8180
- Fax
- (317) 582-8185
- NPI assigned
- Jun 4, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | 01038248A | IN | Primary |
Addresses
Primary practice location
11455 N Meridian St
Suite 200
Carmel, IN 46032-1624
Mailing address
12302 Hancock St
Carmel, IN 46032-5807
Phone (317) 564-4836
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100196480 A | Medicaid | IN |
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
- Infectious Disease
- Education
- Indiana University School of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10580 N Meridian St
Carmel, IN 46290-1028
Phone (317) 583-5000
10590 N Meridian St
Carmel, IN 46290-1028
11455 N Meridian St
Suite 200
Carmel, IN 46032-1680
Phone (317) 582-8180
13500 N Meridian St
Carmel, IN 46032-1456
Phone (317) 582-7000
2001 W 86TH St
Indianapolis, IN 46260-1902
Phone (317) 338-2345
250 W 96TH St
Suite 520
Indianapolis, IN 46260-1317
8433 Harcourt Rd
Suite 100
Indianapolis, IN 46260-2193
Phone (317) 583-7600
Hospital & facility affiliations
- Suburban Home Health LLC
- Elara Caring
- Riverview Health
- Ascension St Vincent Carmel
- Ascension St Vincent Hospital
- Ascension St Vincent Kokomo
- Witham Health Services
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 59 |
| Removal of skin lesions | 19 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01038248A | IN | MD | Infectious Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Vincent Medical Group, Inc. | Current | Accepting new patients | |
| St. Vincent Medical Group, Inc. | Current | Accepting new patients | |
| Major Hospital | Past | Accepting new patients | |
| St Vincent Medical Group Inc | Past | Accepting new patients |
Locations
11455 N Meridian St
Ste 200
Carmel, IN 46032
Phone (317) 582-8180
8433 Harcourt Rd
Ste 100
Indianapolis, IN 46260
Phone (317) 583-7702
250 W 96th St
#520
Indianapolis, IN 46260
Phone (317) 583-3331
Interoperability endpoints
- tracey.ikerd.1@7598.direct.athenahealth.com
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 and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Winchester, IN
- NPI 1144513375
-
- Internal Medicine Physician
- Carmel, IN
- NPI 1811881527
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
-
- Cardiovascular Disease Physician
- Indianapolis, IN
- NPI 1558686436
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Kokomo, IN
- NPI 1346255940
-
- General Acute Care Hospital
- Noblesville, IN
- NPI 1700883717
-
- General Acute Care Hospital
- Kokomo, IN
- NPI 1780625442
-
- General Acute Care Hospital
- Carmel, IN
- NPI 1639124134
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1306898960
-
- General Acute Care Hospital
- Avon, IN
- NPI 1851833230
-
- Home Health Agency
- Noblesville, IN
- NPI 1598872939
-
- General Acute Care Hospital
- Lebanon, IN
- NPI 1699757401
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276646400000",
"number": "1871532234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12302 HANCOCK ST",
"city": "CARMEL",
"state": "IN",
"postal_code": "460325807",
"telephone_number": "317-564-4836",
"fax_number": "317-587-2342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11455 N MERIDIAN ST",
"address_2": "SUITE 200",
"city": "CARMEL",
"state": "IN",
"postal_code": "460321624",
"telephone_number": "317-582-8180",
"fax_number": "317-582-8185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IKERD",
"first_name": "TRACEY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-04",
"last_updated": "2010-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "IN",
"license": "01038248A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100196480 A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Carmel, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2010; 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.