Individual provider Active NPI

Gerald B Mader, MD

  • Family Medicine Physician
  • Whiteland, IN
National Provider Identifier
1922174234
Registry record updated May 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01044523 Issued in IN
Practice address
8 N US 31 Ste a
Whiteland, IN 46184-1546
Phone
(317) 736-6133
Fax
(317) 736-6403
NPI assigned
Nov 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01044523 IN Primary

Addresses

Primary practice location

8 N US 31 Ste a
Whiteland, IN 46184-1546

Mailing address

1155 W Jefferson St
Suite 101
Franklin, IN 46131-2730
Phone (317) 736-6133

Other practice location 1

1155 W Jefferson St Ste 101
Franklin, IN 46131-2731
Phone (317) 736-6133

Other practice location 2

3000 S State Road 135 Ste 200
Greenwood, IN 46143-9829
Phone (317) 736-6133

Other identifiers 1

IdentifierTypeStateIssuer
080090278OtherINRAILROAD MEDICARE

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
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01044523INMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Johnson Memorial Health Physician Network, LLC Family Medicine CurrentSince Dec 1, 2019 Accepting new patients
Major Hospital Past Accepting new patients
Orthopaedic Care Center Under Johnson Memorial Hospital PastSince Aug 20, 2019 Accepting new patients

Locations

1155 W Jefferson St
Ste 101
Franklin, IN 46131
Phone (317) 346-7934

3000 S State Road 135
Ste 200
Greenwood, IN 46143
Phone (317) 535-1876

8 N US Highway 31
Ste A
Whiteland, IN 46184
Phone (317) 535-1577

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": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620691200000",
    "number": "1922174234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 W JEFFERSON ST",
            "address_2": "SUITE 101",
            "city": "FRANKLIN",
            "state": "IN",
            "postal_code": "461312730",
            "telephone_number": "317-736-6133",
            "fax_number": "317-736-6403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 N US 31 STE A",
            "city": "WHITELAND",
            "state": "IN",
            "postal_code": "461841546",
            "telephone_number": "317-736-6133",
            "fax_number": "317-736-6403"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1155 W Jefferson St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "IN",
            "postal_code": "461312731",
            "country_code": "US",
            "telephone_number": "317-736-6133",
            "fax_number": "317-736-6403",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3000 S State Road 135 Ste 200",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "IN",
            "postal_code": "461439829",
            "country_code": "US",
            "telephone_number": "317-736-6133",
            "fax_number": "317-736-6133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MADER",
        "first_name": "GERALD",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01044523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080090278",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Whiteland, IN

Sources for this page

Verify at the official NPI Registry.