Individual provider Active NPI

Karl D Steinke, DO

  • Family Medicine Physician
  • Bloomington, IN
National Provider Identifier
1962519181
Registry record updated Apr 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
02003783A Issued in IN
Practice address
3657 S Sare Rd
Bloomington, IN 47401-4173
Phone
(812) 339-2547
Fax
(812) 339-2798
NPI assigned
Aug 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2012

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 02003783A IN Primary

Addresses

Primary practice location

3657 S Sare Rd
Bloomington, IN 47401-4173

Mailing address

3657 S Sare Rd
Bloomington, IN 47401-4173
Phone (812) 339-2547

Other identifiers 1

IdentifierTypeStateIssuer
201054110MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
02003783AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Monroe Medical Group Inc Family Medicine Past Accepting new patients
Primary Medicine Associates, LLC Family Medicine Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8479/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335484800000",
    "number": "1962519181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3657 S SARE RD",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474014173",
            "telephone_number": "812-339-2547",
            "fax_number": "812-339-2798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3657 S SARE RD",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474014173",
            "telephone_number": "812-339-2547",
            "fax_number": "812-339-2798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEINKE",
        "first_name": "KARL",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2012-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "02003783A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201054110",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.