Active NPI
Heidi M Bagwell, MD
- Family Medicine Physician
- Greenwood, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01060982A
- Practice address
- 3000 S State Road 135 Ste 330
Greenwood, IN 46143-9825 - Phone
- (317) 497-2400
- Fax
- (317) 497-2515
- NPI assigned
- Aug 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01060982A | IN | Primary |
Addresses
Primary practice location
3000 S State Road 135 Ste 330
Greenwood, IN 46143-9825
Mailing address
1711 S State Road 135
Suite C
Greenwood, IN 46143-6480
Phone (317) 881-7400
Other practice location 1
1711 S State Road 135
Suite C
Greenwood, IN 46143-6480
Phone (317) 881-7400
Other practice location 2
3000 S State Road 135 Ste 310
Greenwood, IN 46143-5527
Phone (317) 497-2400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200527050 | Medicaid | IN |
Other names 1
- Heidi M Middendorf Bagwell
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | hbagwell222376@eCommunityDirect.com | Community Physicians of Indiana Inc |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Indiana University School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3000 S State Rd
135 Suite 310
Greenwood, IN 46143-5527
Phone (317) 497-2400
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Physicians of Indiana Inc | Family Medicine | Current | Accepting new patients |
| Community Physicians of Indiana Inc | Current | Accepting new patients | |
| Major Hospital | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| St. Francis Medical Group, LLC | Family Medicine | Past | Accepting new patients |
Locations
5819 Reliable Pkwy
Chicago, IL 60686
3000 S State Road 135
Ste 330
Greenwood, IN 46143
Phone (317) 497-2400
3000 S State Road 135
Ste 310
Greenwood, IN 46143
Phone (317) 497-2400
7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444
6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547
Interoperability endpoints
- hbagwell222376@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 and National Provider Directory roles.
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- NPI 1619105244
-
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-
- General Acute Care Hospital
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-
- Internal Medicine Physician
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- NPI 1467693135
Family Medicine
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Indianapolis, IN
- NPI 1730646589
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1336119478
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1235109778
-
- General Acute Care Hospital
- Carmel, IN
- NPI 1376214981
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1386749893
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1144266024
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745452800000",
"number": "1982616348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1711 S STATE ROAD 135",
"address_2": "SUITE C",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461436480",
"telephone_number": "317-881-7400",
"fax_number": "317-881-7477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 S STATE ROAD 135 STE 330",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461439825",
"telephone_number": "317-497-2400",
"fax_number": "317-497-2515"
}
],
"practiceLocations": [
{
"address_1": "1711 S State Road 135",
"address_2": "Suite C",
"address_purpose": "LOCATION",
"city": "Greenwood",
"state": "IN",
"postal_code": "461436480",
"country_code": "US",
"telephone_number": "317-881-7400",
"fax_number": "317-881-7477",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3000 S State Road 135 Ste 310",
"address_purpose": "LOCATION",
"city": "Greenwood",
"state": "IN",
"postal_code": "461435527",
"country_code": "US",
"telephone_number": "317-497-2400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAGWELL",
"first_name": "HEIDI",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-13",
"last_updated": "2025-04-24",
"certification_date": "2025-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01060982A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200527050",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "hbagwell222376@eCommunityDirect.com",
"affiliation": "Y",
"affiliationName": "Community Physicians of Indiana Inc",
"address_1": "3000 S State Road 135 Ste 310",
"city": "Greenwood",
"state": "IN",
"country_code": "US",
"postal_code": "461435527",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "HEIDI",
"last_name": "MIDDENDORF BAGWELL",
"middle_name": "M",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Greenwood, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; 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.