Active NPI
Leo Plouffe Jr., MD
- Multi-Specialty Clinic/Center
- Indianapolis, IN
National Provider Identifier
1912082314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- License
- 01048385A
- Practice address
- Eli Lilly and Company
Lilly Corporate Center
Indianapolis, IN 46285-0001 - Phone
- (317) 997-5141
- NPI assigned
- Oct 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | 01048385A | IN | Primary |
Addresses
Primary practice location
Eli Lilly and Company
Lilly Corporate Center
Indianapolis, IN 46285-0001
Mailing address
662 Mayfair LN
Carmel, IN 46032-8650
Phone (317) 277-6284
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01048385A | IN | MD | Multi-Specialty Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1912082314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "662 MAYFAIR LN",
"city": "CARMEL",
"state": "IN",
"postal_code": "460328650",
"telephone_number": "317-277-6284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ELI LILLY AND COMPANY",
"address_2": "LILLY CORPORATE CENTER",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462850001",
"telephone_number": "317-997-5141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLOUFFE",
"first_name": "LEO",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": "IN",
"license": "01048385A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.