Active NPI
Melissa Diane Anderson, MD
- Nephrology Physician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 01065758A
- Practice address
- 5510 S East St Ste H
Indianapolis, IN 46227-1939 - Phone
- (317) 924-8425
- NPI assigned
- Jun 11, 2008
- Last updated
- May 31, 2022
- 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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 01065758A | IN | Primary |
Addresses
Primary practice location
5510 S East St Ste H
Indianapolis, IN 46227-1939
Mailing address
120 W 22ND St Ste 200
Oak Brook, IL 60523-1563
Other practice location 1
550 University Blvd Ste 2180
Indianapolis, IN 46202-5149
Phone (317) 944-8660
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200911340 | Medicaid | IN | |
| P0084590 | Other | IN | RAIL ROAD MEDICARE |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | manderson2@direct.iuhealth.org | ||
| Direct Messaging Address | credentialing@nephdocs.com | 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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Southern Illinois University School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
5510 S E St
Suite H
Indianapolis, IN 46227-1939
Phone (317) 924-8425
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nephrology Associates of Northern Indiana, Inc | Nephrology | Current | Accepting new patients |
| University Medical Diagnostic Associates, Inc. | Internal Medicine | Current | Accepting new patients |
| Major Hospital | Past | Accepting new patients |
Locations
7301 Solutions Ctr
Chicago, IL 60677
120 W 22nd St
Ste 200
Oak Brook, IL 60523
Phone (630) 575-5000
569 Tyler St
Gary, IN 46402
Phone (260) 885-3300
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
1801 Senate Blvd
Ste 355
Indianapolis, IN 46202
Phone (317) 924-8420
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
250 N Shadeland Ave
Ste 130
Indianapolis, IN 46219
Phone (317) 962-4836
250 N Shadeland Ave
Ste 200
Indianapolis, IN 46219
Phone (317) 962-4836
535 Barnhill Dr
#150
Indianapolis, IN 46202
Phone (317) 278-0221
550 University Blvd
Indianapolis, IN 46202
Phone (217) 274-5000
550 University Blvd
#2180
Indianapolis, IN 46202
Phone (317) 274-2891
5510 S East St
Ste H
Indianapolis, IN 46227
Phone (317) 924-8420
720 Eskenazi Ave
Fl 5
Indianapolis, IN 46202
Phone (317) 880-6000
90 W 86th Ave
Merrillville, IN 46410
Phone (219) 791-1555
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- manderson14538@direct.eskenazihealth.edu
- manderson2@direct.iuhealth.org
- manderson35700@direct.acumenmd.com
- manderson614966@direct.franciscanalliance.org
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.
-
- Nephrology Physician
- Fort Wayne, IN
- NPI 1578505814
-
- Internal Medicine Physician
- Indianapolis, IN
- NPI 1861441537
-
dba Indiana Kidney Institute
- Ambulatory Surgical Clinic/Center
- Indianapolis, IN
- NPI 1548785116
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Trilogy Dialysis - Arlington
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Indianapolis, IN
- NPI 1457952244
Dialysis facility
-
dba Fresenius Medical Care Indianapolis West
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Indianapolis, IN
- NPI 1205295300
Dialysis facility
-
dba Community Hospital South
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1235109778
-
- General Acute Care Hospital
- Kokomo, IN
- NPI 1902878994
-
dba Franciscan Health Indianapolis Orthopedic Hospital
- General Acute Care Hospital
- Carmel, IN
- NPI 1376214981
-
dba Franciscan Health - Indianapolis
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1386749893
-
dba Indiana University Health
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1144266024
-
- General Acute Care Hospital
- Franklin, IN
- NPI 1346248986
-
dba JMH Immediate/Occupation Health
- Occupational Medicine Clinic/Center
- Franklin, IN
- NPI 1679577357
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653955200000",
"number": "1871753152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 W 22ND ST STE 200",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605231563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5510 S EAST ST STE H",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462271939",
"telephone_number": "317-924-8425"
}
],
"practiceLocations": [
{
"address_1": "550 University Blvd Ste 2180",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462025149",
"country_code": "US",
"telephone_number": "317-944-8660",
"fax_number": "317-944-7459",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANDERSON",
"first_name": "MELISSA",
"middle_name": "DIANE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-11",
"last_updated": "2022-05-31",
"certification_date": "2022-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "IN",
"license": "01065758A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200911340",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "P0084590",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "manderson2@direct.iuhealth.org",
"affiliation": "N",
"address_1": "550 University Blvd Ste 2180",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462025149",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "credentialing@nephdocs.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "5510 S East St Ste H",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462271939",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
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 May 31, 2022; 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.