JEFFREY D MACKE MD NPI 1174632129

NPI Information

NPI: 1174632129
Provider Name: JEFFREY D MACKE, MD
Classification: Pediatrics - 2080P0214X
Entity Type: Individual

Specialization: Pediatric Pulmonology

PECOS Registration: Yes

Address:
705 RILEY HOSPITAL DR
ROC 4270
INDIANAPOLIS, IN
ZIP 46202
Phone: (317) 274-7208
Get Directions

Jeffrey D Macke, MD is a pediatric pulmonology pediatrics in Indianapolis, IN. The provider is a pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques. Jeffrey D Macke, MD NPI is 1174632129. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

705 RILEY HOSPITAL DR
ROC 4270
INDIANAPOLIS, IN
ZIP 46202-109
Phone: (317) 274-7208
Fax: (317) 274-3442

The NPI 1174632129 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/30/2006 and was last updated on 12/4/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207LC0200X	Anesthesiology	Critical Care Medicine	01038187	INDIANA	No
2	2080P0214X	Pediatrics	Pediatric Pulmonology	01038187	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000000354896	OTHER		ANTHEM-DEAC-350593390
2	350593390-042	OTHER		TRICARE-DEAC-350593390
3	1801844	MEDICAID	LOUISIANA
4	100132000	MEDICAID	INDIANA
5	64879174	MEDICAID	KENTUCKY
6	3810016820	MEDICAID	WEST VIRGINIA
7	1011442	MEDICAID	VERMONT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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