Active NPI
Donald D Corea, D.O.
- Diagnostic Ultrasound Physician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Ultrasound Physician
- License
- 02002342A
- 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, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00043584 | Other | IN | RAILROAD MEDICARE |
| 200322430 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dcorea@direct.iuhealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 02002342 | IN | MD | Diagnostic Radiology Physician |
| 02002342A | IN | MD | Diagnostic Ultrasound Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indiana University Radiology Associates, Inc. | Pediatric Radiology | Current | Accepting new patients |
| River City Imaging Associates PA | Diagnostic Radiology | Current | Accepting new patients |
| River City Imaging Centers LLC | Current | 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
- 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.
-
- Diagnostic Radiology Physician
- Indianapolis, IN
- NPI 1336192665
Pediatric Radiology
-
- Radiology Clinic/Center
- New Braunfels, TX
- NPI 1720661176
-
- Diagnostic Radiology Physician
- Indianapolis, IN
- NPI 1497712160
-
- Cardiovascular Disease Physician
- Indianapolis, IN
- NPI 1376586719
-
dba Gonzaba Medical Group
- Family Medicine Physician
- San Antonio, TX
- NPI 1023030160
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Christus Santa Rosa Hospital - New Braunfels
- General Acute Care Hospital
- New Braunfels, TX
- NPI 1114725033
-
dba CHRISTUS Santa Rosa Hospital
- General Acute Care Hospital
- San Antonio, TX
- NPI 1194787218
-
dba Christus Santa Rosa Hospital - San Marcos
- General Acute Care Hospital
- San Marcos, TX
- NPI 1447883301
-
dba Childrens Hospital of San Antonio
- Children's Hospital
- San Antonio, TX
- NPI 1821004151
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.