Stephen James Carlson, MD - Medicare Gastroenterology in Indianapolis, IN

Stephen James Carlson, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Indianapolis, Indiana. He went to University Of Illinois College Of Med (chi/peor/rock/chm-urb) and graduated in 1990 and has 34 years of diverse experience with area of expertise as Gastroenterology. He is a member of the group practice Community Physicians Of Indiana Inc and his current practice location is 7950 N Shadeland Avenue, Suite 350, Indianapolis, Indiana. You can reach out to his office (for appointments etc.) via phone at (317) 578-2600.

Stephen James Carlson is licensed to practice in Indiana (license number 01049970A) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1699743518.

Contact Information

Stephen James Carlson, MD
7950 N Shadeland Avenue, Suite 350,
Indianapolis, IN 46250
(317) 578-2600
(317) 578-6474

Map and Direction




Physician's Profile

Full NameStephen James Carlson
GenderMale
SpecialityGastroenterology
Experience34 Years
Location7950 N Shadeland Avenue, Indianapolis, Indiana
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Stephen James Carlson attended and graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 1990
  NPI Data:
  • NPI Number: 1699743518
  • Provider Enumeration Date: 03/08/2006
  • Last Update Date: 11/27/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2264585819
  • Enrollment ID: I20101015000879

Medical Identifiers

Medical identifiers for Stephen James Carlson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699743518NPI-NPPES
000000793461OtherINANTHEM
200072620MedicaidIN
200072620AMedicaidIN
P01170501OtherINRR MEDICARE PTAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0100XInternal Medicine - Gastroenterology 01049970A (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Community Hospital NorthIndianapolis, INHospital
Community Hospital EastIndianapolis, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Community Physicians Of Indiana Inc17594166621292

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Stephen James Carlson allows following entities to bill medicare on his behalf.
Entity NameCommunity Physicians Of Indiana Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619105244
PECOS PAC ID: 1759416662
Enrollment ID: O20100317000717

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stephen James Carlson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Stephen James Carlson, MD
6626 E 75th St, Suite 500,
Indianapolis, IN 46250-2805

Ph: () -
Stephen James Carlson, MD
7950 N Shadeland Avenue, Suite 350,
Indianapolis, IN 46250

Ph: (317) 578-2600

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.