Individual provider Active NPI

Melissa Inpanbutr-Martinkus, MD

  • Family Medicine Physician
  • Indianapolis, IN
National Provider Identifier
1982773164
Registry record updated Nov 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01071479A Issued in IN
Practice address
2855 N Keystone Ave
Suite 100
Indianapolis, IN 46218-2789
Phone
(317) 920-5760
Fax
(317) 920-5777
NPI assigned
Nov 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 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 01071479A IN Primary

Addresses

Primary practice location

2855 N Keystone Ave
Suite 100
Indianapolis, IN 46218-2789

Mailing address

3403 E Raymond St
Indianapolis, IN 46203-4744
Phone (317) 788-9769

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130118000317 IN Practitioner - Family Practice 0749327047 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2006
Medicare assignment
May accept Medicare assignment
Group practices
Healthnet IncGroup PAC ID 7214840933, 77 clinicians

Practice addresses (Care Compare)

1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (317) 962-8909

2855 N Keystone Ave
Indianapolis, IN 46218-2790

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthnet, Inc. CurrentSince Nov 19, 2012 Accepting new patients
Major Hospital Past Accepting new patients

Locations

2855 N Keystone Ave
Indianapolis, IN 46218
Phone (317) 957-2300

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

2855 N Keystone Ave
Ste 100
Indianapolis, IN 46218
Phone (317) 920-5760

3403 E Raymond St
Indianapolis, IN 46203
Phone (317) 957-2000

3401 E Raymond St
#0
Indianapolis, IN 46203

2855 N Keystone Ave
Ste 130
Indianapolis, IN 46218

Interoperability endpoints

  • Direct secure messaging: melissa.inpanbutrmartinkus@hn.eclinicaldirectplus.com

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.

Hospital & facility affiliations 2

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": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352851200000",
    "number": "1982773164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3403 E RAYMOND ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462034744",
            "telephone_number": "317-788-9769",
            "fax_number": "317-781-4868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 N KEYSTONE AVE",
            "address_2": "SUITE 100",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462182789",
            "telephone_number": "317-920-5760",
            "fax_number": "317-920-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INPANBUTR-MARTINKUS",
        "first_name": "MELISSA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2012-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01071479A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.