Active NPI
Joseph Wayne Eke Jr., MD
- Vascular & Interventional Radiology Physician
- Indianapolis, IN
National Provider Identifier
1952307480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- 01047083A
- Practice address
- 711 S East St
Indianapolis, IN 46225-1317 - Phone
- (317) 800-2369
- NPI assigned
- Jun 21, 2005
- Last updated
- Sep 15, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | 01047083A | IN | Primary |
| General Practice Physician | 208D00000X | 01047083A | IN | |
| General Practice Physician | 208D00000X | 35.079654 | OH | |
| General Practice Physician | 208D00000X | 48179 | KY |
Addresses
Primary practice location
711 S East St
Indianapolis, IN 46225-1317
Mailing address
9100 Keystone Xing Ste 400
Indianapolis, IN 46240-2159
Phone (317) 800-2369
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, IN, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01047083A | IN | MD | Vascular & Interventional Radiology Physician |
| 35.079654 | OH | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Ohio Associated Radiology Inc | Past | Accepting new patients | |
| Parkersburg Radiology Services, Inc. | Past | Accepting new patients | |
| Professional Readers Group, Inc | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Diagnostic Radiology Physician
- Parkersburg, WV
- NPI 1669478111
-
- Specialist
- Cincinnati, OH
- NPI 1861445702
-
- Diagnostic Radiology Physician
- Cambridge, OH
- NPI 1144256645
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631664000000",
"number": "1952307480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9100 KEYSTONE XING STE 400",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462402159",
"telephone_number": "317-800-2369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 S EAST ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462251317",
"telephone_number": "317-800-2369"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EKE",
"first_name": "JOSEPH",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-21",
"last_updated": "2021-09-15",
"certification_date": "2021-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "IN",
"license": "01047083A",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "IN",
"license": "01047083A",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "OH",
"license": "35.079654",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "KY",
"license": "48179",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.