Active NPI
Katelyn Smiley, DO
- Family Medicine Physician
- Carmel, IN
National Provider Identifier
1942903679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 02009176A
- Practice address
- 10767 Illinois St Ste 1300
Carmel, IN 46032-8972 - Phone
- (317) 528-2298
- Fax
- (317) 528-2779
- NPI assigned
- Mar 22, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 02009176A | IN | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
10767 Illinois St Ste 1300
Carmel, IN 46032-8972
Mailing address
PO Box 781076
Ste G525
Detroit, MI 48278-1008
Phone (317) 528-4800
Other practice location 1
8414 Naab Rd Ste 120
Indianapolis, IN 46260-1972
Phone (317) 338-7510
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230712002749 | IN | Order and Referring Only - Family Practice | 4880054634 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Interoperability endpoints
- katelyn.smiley.1@7598.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784851200000",
"number": "1942903679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 781076",
"address_2": "STE G525",
"city": "DETROIT",
"state": "MI",
"postal_code": "482781008",
"telephone_number": "317-528-4800",
"fax_number": "317-865-1479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10767 ILLINOIS ST STE 1300",
"city": "CARMEL",
"state": "IN",
"postal_code": "460328972",
"telephone_number": "317-528-2298",
"fax_number": "317-528-2779"
}
],
"practiceLocations": [
{
"address_1": "8414 Naab Rd Ste 120",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462601972",
"country_code": "US",
"telephone_number": "317-338-7510",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMILEY",
"first_name": "KATELYN",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-03-22",
"last_updated": "2026-07-24",
"certification_date": "2026-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "02009176A",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carmel, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; 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.