Carol Eisenhut, M.D

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

01036079 Issued in IN

Practice address

10291 N Meridian St Ste 100
Indianapolis, IN 46290-1000

Phone

(317) 874-1254

NPI assigned

Sep 24, 2006

Last updated

May 6, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 5

Other names 1

• Mary Carol Eisenhut Other name

Electronic endpoints 1

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

Specialty

Pathology

Education

Indiana University School of Medicine, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

DCL Pathology LLCGroup PAC ID 1850564675, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: carol.eisenhut@ogi.gwaydirect.com

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.

• DCL Pathology LLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Indianapolis, IN
  • NPI 1063771012

  Cytopathology

  Medicare reassignment Care Compare group NPD Authorized official
• Seven Hills OB-GYN Associates LLC

  dba Axia Women's Health Midwest Laboratory

  • Obstetrics & Gynecology Physician
  • Carmel, IN
  • NPI 1396350187

  Anatomic Pathology & Clinical Pathology

  Medicare reassignment NPD
• DCL Pathology LLC

  • Clinical Medical Laboratory
  • Carmel, IN
  • NPI 1922386325
  NPD
• Seven Hills OB-GYN Associates, LLC

  • Obstetrics & Gynecology Physician
  • Indianapolis, IN
  • NPI 1780312975
  NPD
• DCL Medical Laboratories LLC

  • Clinical Medical Laboratory
  • Indianapolis, IN
  • NPI 1316112337
  NPD (past)
• DCL Laboratories LLC

  • Clinical Medical Laboratory
  • Collinsville, IL
  • NPI 1679887947
  NPD (past)

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

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651795200000",
    "number": "1982704466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9550 ZIONSVILLE RD",
            "address_2": "SUITE 200",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462681065",
            "telephone_number": "317-872-0116",
            "fax_number": "317-874-1440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10291 N MERIDIAN ST STE 100",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462901000",
            "telephone_number": "317-874-1254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISENHUT",
        "first_name": "CAROL",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-24",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "IN",
            "license": "01036079",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "IN",
            "license": "01036079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100132730",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64130495",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "35086530",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "01036079",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "036099414",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "carol.eisenhut@ogi.gwaydirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "11405 Pennsylvania St Ste 260",
            "city": "Carmel",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460327440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "EISENHUT",
            "middle_name": "CAROL",
            "credential": "M. D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jennifer Lynn Eingle, PT, DPT
• Lawrence H Einhorn, MD
• Andrea Einterz
• Ellen M Einterz, M.D.
• Anna Eisenbarth, RBT
• John Timothy Eisenhut
• Timothy Michael Eisenhut, MD
• Nancy Eisenman, MSW, LSW
• Sidney Eisgruber
• Kayla Eising

• Anatomic Pathology & Clinical Pathology Physician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Anatomic Pathology & Clinical Pathology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2022; 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.

Verify at the official NPI Registry.