Individual provider Active NPI

Thomas W Sliwa, MD

  • Emergency Medicine Physician
  • Fishers, IN
National Provider Identifier
1992715965
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
01038553A Issued in IN
Practice address
13100 136TH Street
Fishers, IN 46037-9478
Phone
(317) 944-4705
Fax
(317) 678-1325
NPI assigned
Aug 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 01038553 IN
Internal Medicine Physician 207R00000X 01038553A IN
Emergency Medicine Physician 207P00000X 01038553A IN Primary

Addresses

Primary practice location

13100 136TH Street
Fishers, IN 46037-9478

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other identifiers 1

IdentifierTypeStateIssuer
100355060MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tsliwa@direct.iuhealth.org

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
I20041101001056 IN Practitioner - Emergency MedicinePractitioner - Internal Medicine 0648243188 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01038553INMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana University Health Care Associates, Inc CurrentSince Dec 1, 2011 Accepting new patients
Indiana University Health Care Associates, Inc. CurrentSince Dec 1, 2011 Accepting new patients
University Medical Diagnostic Associates, Inc. Internal Medicine Past Accepting new patients
Icem, LLC Emergency Medicine Past Accepting new patients
Emgi - Henry, LLC Emergency Medicine Past Accepting new patients

Locations

5208 Reliable Pkwy
Chicago, IL 60686

1111 Ronald Reagan Pkwy
Avon, IN 46123
Phone (317) 217-3000

13100 E 136th St
Fishers, IN 46037
Phone (317) 678-2000

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

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

1701 N Senate Blvd
Bldg C6
Indianapolis, IN 46202
Phone (913) 962-2000

3500 S Lafountain St
Kokomo, IN 46902
Phone (765) 453-0702

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1992715965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13100 136TH STREET",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460379478",
            "telephone_number": "317-944-4705",
            "fax_number": "317-678-1325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLIWA",
        "first_name": "THOMAS",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01038553",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01038553A",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01038553A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100355060",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tsliwa@direct.iuhealth.org",
            "affiliation": "N",
            "address_1": "13100 136th Street",
            "city": "Fishers",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460379478",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

Verify at the official NPI Registry.