Individual provider Active NPI

Gary Thompson, MD

  • Family Medicine Physician
  • Greenwood, IN
National Provider Identifier
1932111598
Registry record updated Mar 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01042057A Issued in IN
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, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100333830MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100722000013 IN Practitioner - Family PracticePractitioner - Emergency MedicinePractitioner - Other (Physician) 8022140383 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01042057INMDEmergency Medicine Physician
01042057AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nora Urgent Care LLC CurrentSince Sep 21, 2014 Accepting new patients
Nora Urgent Care LLC CurrentSince Sep 21, 2014 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

  • Direct secure messaging: 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.

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

Sources for this page

Verify at the official NPI Registry.