Individual provider Active NPI

Daniel Joseph Desalle, D.O.

  • Internal Medicine Physician
  • Indianapolis, IN
National Provider Identifier
1902959026
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
02003389A Issued in IN
Practice address
6920 Gatwick Dr Ste 200
Indianapolis, IN 46241-9619
Phone
(317) 455-1064
NPI assigned
Jan 20, 2007
Last updated
Dec 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 02003389A IN
Internal Medicine Physician 207R00000X OSO13829 PA
Internal Medicine Physician 207R00000X 02003389A IN Primary

Addresses

Primary practice location

6920 Gatwick Dr Ste 200
Indianapolis, IN 46241-9619

Mailing address

3600 W Bethel Ave
Muncie, IN 47304-5407
Phone (800) 622-6575

Other practice location 1

541 S Landmark Ave
Bloomington, IN 47403-3239
Phone (317) 455-1064

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
I20080825000618 IN Practitioner - Internal MedicinePractitioner - Hospitalist 4981779071 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Indiana Orthopedics LLCGroup PAC ID 5698667822, 148 clinicians
Arm Specialists LLCGroup PAC ID 8729214887, 18 clinicians

Practice addresses (Care Compare)

6920 Gatwick Dr
Suite 200
Indianapolis, IN 46241-9619
Phone (317) 455-1064

7230 Arbuckle CMNS
Suite 178
Brownsburg, IN 46112-2286
Phone (317) 456-2764

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OSO13829PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Indiana Orthopedics LLC Internal Medicine CurrentSince Apr 1, 2023 Accepting new patients
Monroe Medical Group Inc Internal Medicine CurrentSince Jul 1, 2019 Accepting new patients
Central Indiana Orthopedics, LLC CurrentSince Apr 1, 2023 Accepting new patients
Arm Specialists, LLC CurrentSince Dec 23, 2025 Accepting new patients
St. Francis Hospital and Health Centers Internal Medicine Past Accepting new patients
Major Hospital Past Accepting new patients
Franciscan Physician Network Internal Medicine PastSince Jan 1, 2012 Accepting new patients
St. Francis Medical Group, LLC Internal Medicine Past Accepting new patients

Locations

4011 S Monroe Medical Park Blvd
Bloomington, IN 47403
Phone (812) 825-5777

421 S Landmark Ave
Bloomington, IN 47403
Phone (812) 332-4468

541 S Landmark Ave
Bloomington, IN 47403
Phone (317) 455-1064

7230 Arbuckle Cmns
Ste 178
Brownsburg, IN 46112
Phone (317) 456-2764

6920 Gatwick Dr
Ste 200
Indianapolis, IN 46241
Phone (317) 455-1064

3600 W Bethel Ave
Muncie, IN 47304
Phone (765) 213-3870

Interoperability endpoints

  • Direct secure messaging: daniel.desalle.p4@direct.beaconortho.nextgenshare.com
  • FHIR API: https://api.platform.athenahealth.com/8479/brand/1/csg/1/fhir/r4

Organizations & group practices 8

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 3

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": "1169251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1902959026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 W BETHEL AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473045407",
            "telephone_number": "800-622-6575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6920 GATWICK DR STE 200",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462419619",
            "telephone_number": "317-455-1064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "541 S Landmark Ave",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IN",
            "postal_code": "474033239",
            "country_code": "US",
            "telephone_number": "317-455-1064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESALLE",
        "first_name": "DANIEL",
        "middle_name": "JOSEPH",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-20",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IN",
            "license": "02003389A",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OSO13829",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "02003389A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.