Individual provider Active NPI

Martha E. McAndrews, M.D.

  • Emergency Medicine Physician
  • Noblesville, IN
National Provider Identifier
1902843147
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
01032338A Issued in IN
Practice address
14645 Hazel Dell Rd Ste 120
Noblesville, IN 46062-7067
Phone
(317) 922-2090
Fax
(317) 574-1875
NPI assigned
May 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 0102338 IN
Family Medicine Physician 207Q00000X 01032338 IN
Emergency Medicine Physician 207P00000X 01032338A IN Primary

Addresses

Primary practice location

14645 Hazel Dell Rd Ste 120
Noblesville, IN 46062-7067

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other practice location 1

1331 S A St
Elwood, IN 46036-1942
Phone (765) 552-4600

Other identifiers 1

IdentifierTypeStateIssuer
100342880MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mmcandrews@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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051123000685 IN Practitioner - Emergency MedicinePractitioner - Family Practice 9335031152 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Indiana University School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Indiana University Health Urgent Care Centers LLCGroup PAC ID 0042526063, 93 clinicians

Practice addresses (Care Compare)

14645 Hazel Dell Rd
Suite 120
Noblesville, IN 46062-7067
Phone (317) 922-2090

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0102338INMDEmergency Medicine Physician
01032338INMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana University Health Urgent Care Centers, LLC. CurrentSince Jan 1, 2023 Accepting new patients
Indiana University Health Urgent Care Centers, LLC CurrentSince Jan 1, 2023 Accepting new patients
Southside Emergency Associates 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

14645 Hazel Dell Rd
Ste 120
Noblesville, IN 46062
Phone (317) 922-2090

Interoperability endpoints

  • Direct secure messaging: mmcandrews@direct.iuhealth.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1902843147",
    "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": "14645 HAZEL DELL RD STE 120",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460627067",
            "telephone_number": "317-922-2090",
            "fax_number": "317-574-1875"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1331 S A St",
            "address_purpose": "LOCATION",
            "city": "Elwood",
            "state": "IN",
            "postal_code": "460361942",
            "country_code": "US",
            "telephone_number": "765-552-4600",
            "fax_number": "765-552-4680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCANDREWS",
        "first_name": "MARTHA",
        "middle_name": "E.",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-31",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "0102338",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01032338",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01032338A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100342880",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmcandrews@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "14645 Hazel Dell Rd Ste 120",
            "city": "Noblesville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460627067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Noblesville, IN

Sources for this page

Verify at the official NPI Registry.