Individual provider Active NPI

Conor James Dwyer, MD

  • Orthopaedic Surgery Physician
  • Lebanon, IN
National Provider Identifier
1942467568
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
01068692A Issued in IN
Practice address
2705 N Lebanon St Ste 210
Lebanon, IN 46052-8622
Phone
(765) 485-8790
Fax
(765) 485-8795
NPI assigned
May 21, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 01068692A IN Primary

Addresses

Primary practice location

2705 N Lebanon St Ste 210
Lebanon, IN 46052-8622

Mailing address

2605 N Lebanon St
Lebanon, IN 46052-1476

Other identifiers 1

IdentifierTypeStateIssuer
200995240MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cdwyer@withamdirect.org Health Information Exchange (HIE) Witham Memorial Hospital

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
I20101019000356 IN Practitioner - Orthopedic Surgery 7012100464 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Indiana University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Witham Memorial HospitalGroup PAC ID 4082523170, 107 clinicians

Practice addresses (Care Compare)

2505 N Lebanon St
Lebanon, IN 46052-8613
Phone (765) 485-8830

2605 N Lebanon St
Lebanon, IN 46052-1476

2705 N Lebanon St
Lebanon, IN 46052-8622

6085 Heartland Dr
Zionsville, IN 46077-4433

Hospital & facility affiliations

  • Suburban Home Health LLC Home health agency, Noblesville, IN, CCN 157092
  • Witham Health Services Hospital, Lebanon, IN, CCN 150104
  • Ascension St Vincent Hospital Hospital, Indianapolis, IN, CCN 150084

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Witham Memorial Hospital CurrentSince Aug 31, 2010 Accepting new patients
Witham Memorial Hospital CurrentSince Aug 31, 2010 Accepting new patients

Locations

2605 N Lebanon St
Lebanon, IN 46052
Phone (765) 485-8000

2705 N Lebanon St
Ste 305
Lebanon, IN 46052
Phone (765) 485-8677

2705 N Lebanon St
Ste 210
Lebanon, IN 46052
Phone (765) 485-8790

2505 N Lebanon St
Ste 220
Lebanon, IN 46052
Phone (765) 482-8649

2705 N Lebanon St
Ste 220
Lebanon, IN 46052
Phone (765) 485-8790

6085 Heartland Dr
Ste 204
Zionsville, IN 46077
Phone (317) 768-2134

Interoperability endpoints

  • Direct secure messaging: cdwyer@withamdirect.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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1942467568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 N LEBANON ST",
            "city": "LEBANON",
            "state": "IN",
            "postal_code": "460521476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2705 N LEBANON ST STE 210",
            "city": "LEBANON",
            "state": "IN",
            "postal_code": "460528622",
            "telephone_number": "765-485-8790",
            "fax_number": "765-485-8795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DWYER",
        "first_name": "CONOR",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-21",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IN",
            "license": "01068692A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200995240",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cdwyer@withamdirect.org",
            "affiliation": "Y",
            "affiliationName": "Witham Memorial Hospital",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2705 N Lebanon St Ste 210",
            "city": "Lebanon",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460528622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lebanon, IN

Sources for this page

Verify at the official NPI Registry.