Active NPI
Thomas Z Hayward III, MD
- Surgical Critical Care Physician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Critical Care Physician
- License
- 01060243A
- Practice address
- 720 Eskenazi Ave
2ND Floor, RM 431
Indianapolis, IN 46202-5166 - Phone
- (317) 880-5049
- Fax
- (317) 880-0414
- NPI assigned
- May 3, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Critical Care Physician | 2086S0102X | 01060243A | IN | Primary |
| Surgery Physician | 208600000X | 01060243A | IN |
Addresses
Primary practice location
720 Eskenazi Ave
2ND Floor, RM 431
Indianapolis, IN 46202-5166
Mailing address
250 N Shadeland Ave
Suite 130
Indianapolis, IN 46219-4959
Phone (317) 963-0860
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000617710 | Other | IN | ANTHEM PIN |
| 000000386151 | Other | IN | ANTHEM PIN |
| 200177170 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01060243A | IN | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Surgeons, Inc. | Surgery | Current | Accepting new patients |
| University General Surgeons, Inc. | Surgery | Past | Accepting new patients |
Locations
7630 Solutions Ctr
Chicago, IL 60677
1001 W 10th St
Indianapolis, IN 46202
Phone (317) 630-6175
545 Barnhill Dr
Indianapolis, IN 46202
Phone (317) 274-4966
550 University Blvd
Indianapolis, IN 46202
Phone (217) 274-5000
250 N Shadeland Ave
Ste 130
Indianapolis, IN 46219
Phone (317) 962-4836
545 Barnhill Dr
#246
Indianapolis, IN 46202
Phone (317) 274-4922
250 N Shadeland Ave
Ste 200
Indianapolis, IN 46219
Phone (317) 962-4836
720 Eskenazi Ave
Fl 2
Indianapolis, IN 46202
Phone (317) 278-5316
Interoperability endpoints
- thayward@direct.iuhealth.org
Organizations & group practices 2
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": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427760000000",
"number": "1922066497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 N SHADELAND AVE",
"address_2": "SUITE 130",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462194959",
"telephone_number": "317-963-0860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 ESKENAZI AVE",
"address_2": "2ND FLOOR, RM 431",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462025166",
"telephone_number": "317-880-5049",
"fax_number": "317-880-0414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYWARD",
"first_name": "THOMAS",
"middle_name": "Z",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-03",
"last_updated": "2015-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "IN",
"license": "01060243A",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IN",
"license": "01060243A",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PIN",
"identifier": "000000617710",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PIN",
"identifier": "000000386151",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200177170",
"state": "IN"
}
],
"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 Mar 31, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.