Active NPI
Gary Thompson, MD
- Family Medicine Physician
- Greenwood, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01042057A
- Practice address
- 1001 N Madison Ave
Greenwood, IN 46142-4135 - Phone
- (317) 888-3508
- Fax
- (317) 888-5968
- NPI assigned
- Aug 12, 2006
- Last updated
- Mar 12, 2021
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 01042057 | IN | |
| Family Medicine Physician | 207Q00000X | 01042057A | IN | Primary |
Addresses
Primary practice location
1001 N Madison Ave
Greenwood, IN 46142-4135
Mailing address
PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800
Other practice location 1
5210 E Thompson Rd
Indianapolis, IN 46237
Phone (317) 782-7500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100333830 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | gthompson7574@Direct.FranciscanAlliance.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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01042057 | IN | MD | Emergency Medicine Physician |
| 01042057A | IN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nora Urgent Care LLC | Current | Accepting new patients | |
| Nora Urgent Care LLC | Current | Accepting new patients |
Locations
650 N Girls School Rd
#F40
Indianapolis, IN 46214
Phone (317) 299-4033
860 E 86th St
Ste 4
Indianapolis, IN 46240
Phone (317) 975-3441
Interoperability endpoints
- gthompson7574@direct.franciscanalliance.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Urgent Care Clinic/Center
- Indianapolis, IN
- NPI 1033548896
-
- Urgent Care Clinic/Center
- Indianapolis, IN
- NPI 1568932002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615507200000",
"number": "1932111598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 781076",
"city": "DETROIT",
"state": "MI",
"postal_code": "482781076",
"telephone_number": "317-528-4800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 N MADISON AVE",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461424135",
"telephone_number": "317-888-3508",
"fax_number": "317-888-5968"
}
],
"practiceLocations": [
{
"address_1": "5210 E Thompson Rd",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "46237",
"country_code": "US",
"telephone_number": "317-782-7500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMPSON",
"first_name": "GARY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-12",
"last_updated": "2021-03-12",
"certification_date": "2021-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IN",
"license": "01042057",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01042057A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100333830",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "gthompson7574@Direct.FranciscanAlliance.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "5210 E Thompson Rd",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "46237",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Greenwood, IN
- Thomas a Brady Sports Medicine Center, PC (Forte Sports Medicine and Orthopedics)
- Adam Wyatt Thomas-Fennelly, PHARMD
- Kelly Thomas, PT
- Rachel Ann Thomas, MSN, FNP-C
- Chelsea Thompson, RBT
- Jessica Thompson, LMHC
- Mahayla Thompson, RBT
- Rose-Marie Thompson
- Samuel T Thompson, M.D.
- Terry Lee Thompson III, MA, BCBA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2021; 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.