DR. KATHERINE BLAIRE EGAN MD NPI 1790205706

NPI Information

  • NPI: 1790205706
  • Provider Name: DR. KATHERINE BLAIRE EGAN, MD
  • Classification: Surgery - 2086S0122X
  • Specialization: Plastic and Reconstructive Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 545 BARNHILL DRIVE, EMERSON HALL 232
    IU SCHOOL OF MEDICINE
    INDIANAPOLIS, IN
    ZIP 46202
  • Phone: (317) 278-0394

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NPI Details

DR. Katherine Blaire Egan, MD is a plastic and reconstructive surgery surgery in Indianapolis, IN with 9 years of experience. The provider is a surgeon who specializes in plastic and reconstructive surgery. DR. Katherine Blaire Egan, MD NPI is 1790205706. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: TEXAS A & M UNIVERSITY SYSTEM, HSC, COLLEGE OF MEDICINE
Graduation Year:2017

The provider's business location address is:

545 BARNHILL DRIVE, EMERSON HALL 232
IU SCHOOL OF MEDICINE
INDIANAPOLIS, IN
ZIP 46202
Phone: (317) 278-0394

The NPI 1790205706 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 6/21/2017 and was last updated on 9/26/2025.

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
12086S0122XSurgeryPlastic and Reconstructive Surgery01091179AINDIANAYes
2390200000XStudent in an Organized Health Care Education/Training Program11019435AINDIANANo

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
1300068731MEDICAIDINDIANA

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: 11/21/2025

NPI Synchronization or Removal

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