Individual provider Active NPI

Joseph Wayne Eke Jr., MD

  • Vascular & Interventional Radiology Physician
  • Indianapolis, IN
National Provider Identifier
1952307480
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
01047083A Issued in IN
Practice address
711 S East St
Indianapolis, IN 46225-1317
Phone
(317) 800-2369
NPI assigned
Jun 21, 2005
Last updated
Sep 15, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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, KY3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20060419000706 OH Practitioner - Diagnostic Radiology 3971499153
I20200204000165 IN Practitioner - Diagnostic RadiologyPractitioner - General Practice 3971499153
I20200207002069 KY Practitioner - Diagnostic RadiologyPractitioner - General Practice 3971499153 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01047083AINMDVascular & Interventional Radiology Physician
35.079654OHMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Ohio Associated Radiology Inc PastSince Mar 1, 2006 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.

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

Verify at the official NPI Registry.