Individual provider Active NPI

Donald D Corea, D.O.

  • Diagnostic Ultrasound Physician
  • Indianapolis, IN
National Provider Identifier
1972541407
Registry record updated Feb 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X
License
02002342A Issued in IN
Practice address
1701 N Senate Blvd
Room 1204a
Indianapolis, IN 46202-1239
Phone
(317) 962-6793
Fax
(317) 962-8281
NPI assigned
Jun 4, 2006
Last updated
Feb 4, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Radiology Physician 2085P0229X 02002342A IN
Diagnostic Radiology Physician 2085R0202X 02002342 IN
Diagnostic Ultrasound Physician 2085U0001X 02002342A IN Primary

Addresses

Primary practice location

1701 N Senate Blvd
Room 1204a
Indianapolis, IN 46202-1239

Mailing address

250 N Shadeland Ave
Suite 130
Indianapolis, IN 46219-4959
Phone (317) 963-0860

Other identifiers 2

IdentifierTypeStateIssuer
P00043584OtherINRAILROAD MEDICARE
200322430MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dcorea@direct.iuhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, TX2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20041022000854 IN Practitioner - Diagnostic Radiology 8022079037 Reassigns benefits to 2 organizations
I20251013000365 TX Practitioner - Diagnostic Radiology 8022079037 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of North Texas HSC, College of Osteopathic Med, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
River City Imaging Associates PAGroup PAC ID 0244415081, 22 clinicians

Practice addresses (Care Compare)

Zionsville, IN 46077
Phone (903) 663-4800

333 N Santa Rosa St
San Antonio, TX 78207-3108
Phone (210) 704-2011

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
02002342INMDDiagnostic Radiology Physician
02002342AINMDDiagnostic Ultrasound Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana University Radiology Associates, Inc. Pediatric Radiology CurrentSince May 16, 2009 Accepting new patients
River City Imaging Associates PA Diagnostic Radiology CurrentSince Jun 1, 2025 Accepting new patients
River City Imaging Centers LLC CurrentSince May 9, 2021 Accepting new patients
GMG Health Systems Associates PA Past Accepting new patients
Indiana University Health, Inc Past Accepting new patients
Indiana Radiology Partners, Inc Diagnostic Radiology Past Accepting new patients

Locations

5924 Reliable Pkwy
Chicago, IL 60686

11725 Illinois St
Ste 355
Carmel, IN 46032
Phone (317) 814-4533

1125 W Jefferson St
Franklin, IN 46131
Phone (317) 346-3858

1001 W 10th St
Indianapolis, IN 46202
Phone (317) 630-6175

1701 Senate Blvd
#C6
Indianapolis, IN 46202
Phone (317) 962-9000

1701 Senate Blvd
Rm 1204A
Indianapolis, IN 46202
Phone (317) 962-5740

250 N Shadeland Ave
Ste 130
Indianapolis, IN 46219
Phone (317) 962-4836

2209 John R Wooden Dr
Martinsville, IN 46151
Phone (765) 342-3364

1000 S Main St
Tipton, IN 46072
Phone (765) 675-8500

774 Landa St
New Braunfels, TX 78130
Phone (830) 625-0298

333 N Santa Rosa
San Antonio, TX 78207
Phone (210) 704-2190

720 Pleasanton Rd
San Antonio, TX 78214

Interoperability endpoints

  • Direct secure messaging: dcorea@direct.iuhealth.org

Organizations & group practices 6

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 4

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": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612396800000",
    "number": "1972541407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "address_2": "SUITE 130",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959",
            "telephone_number": "317-963-0860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 N SENATE BLVD",
            "address_2": "ROOM 1204A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462021239",
            "telephone_number": "317-962-6793",
            "fax_number": "317-962-8281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COREA",
        "first_name": "DONALD",
        "middle_name": "D",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "IN",
            "license": "02002342A",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "02002342",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "IN",
            "license": "02002342A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00043584",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200322430",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dcorea@direct.iuhealth.org",
            "affiliation": "N",
            "address_1": "1701 N Senate Blvd",
            "address_2": "Room 1204A",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462021239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.