Individual provider Active NPI

Sherwin G Ibarra, MD

  • Family Medicine Physician
  • Anderson, IN
National Provider Identifier
1952344491
Registry record updated Apr 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01057952A Issued in IN
Practice address
1030 S Scatterfield Rd
Anderson, IN 46012-4235
Phone
(765) 644-5025
Fax
(765) 643-4534
NPI assigned
Jun 13, 2006
Last updated
Apr 14, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01057952A IN Primary

Addresses

Primary practice location

1030 S Scatterfield Rd
Anderson, IN 46012-4235

Mailing address

6626 E 75TH St
Suite 500
Indianapolis, IN 46250-2805

Other identifiers 3

IdentifierTypeStateIssuer
P01027009OtherINRR MEDICARE PTAN
200456740MedicaidIN
P01456890OtherINMEDICARE RR

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
I20041119000575 IN Practitioner - Family Practice 7911962816 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Indiana University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Physicians of Indiana IncGroup PAC ID 1759416662, 1,569 clinicians
Community Physician Network Urgent Care LLCGroup PAC ID 1052819869, 80 clinicians

Practice addresses (Care Compare)

3125 S Scatterfield Rd
Anderson, IN 46013-1804

7120 Clearvista Dr
Suite 4000
Indianapolis, IN 46256-1774
Phone (317) 621-7444

8177 Clearvista Pkwy
Suite 100
Indianapolis, IN 46256-1662
Phone (317) 621-7800

9669 E 146TH St
Noblesville, IN 46060-5006

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01057952AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Physician Network Urgent Care LLC Family Medicine CurrentSince Jul 21, 2025 Accepting new patients
Community Physicians of Indiana Inc Family Medicine CurrentSince Sep 28, 2011 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Sep 28, 2011 Accepting new patients
Major Hospital Past Accepting new patients
Mercy Access LLC Family Medicine Past Accepting new patients

Locations

5819 Reliable Pkwy
Chicago, IL 60686

1030 S Scatterfield Rd
Anderson, IN 46012
Phone (765) 644-5025

11911 N Meridian St
Ste 150
Carmel, IN 46032
Phone (317) 621-6700

801 N State St
Ste 2000
Greenfield, IN 46140
Phone (317) 325-2727

1664 W Smith Valley Rd
Greenwood, IN 46142
Phone (317) 887-7640

1703 N Post Rd
Indianapolis, IN 46219
Phone (317) 355-3200

6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547

7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444

7910 E Washington St
Ste 110
Indianapolis, IN 46219
Phone (317) 355-3200

8177 Clearvista Pkwy
Indianapolis, IN 46256
Phone (317) 621-7800

8177 Clearvista Pkwy
#100
Indianapolis, IN 46256
Phone (317) 621-7800

9669 E 146th St
Ste 100
Noblesville, IN 46060
Phone (317) 621-3434

Interoperability endpoints

  • Direct secure messaging: sibarra9823@ecommunitydirect.com

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492128000000",
    "number": "1952344491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6626 E 75TH ST",
            "address_2": "SUITE 500",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 S SCATTERFIELD RD",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460124235",
            "telephone_number": "765-644-5025",
            "fax_number": "765-643-4534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBARRA",
        "first_name": "SHERWIN",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2017-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01057952A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PTAN",
            "identifier": "P01027009",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200456740",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P01456890",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, IN

Sources for this page

Verify at the official NPI Registry.