DAVID MICHAEL BLACKWELL II MD
NPI 1104903111
Family Medicine in Indianapolis, IN

Active since November 01, 2006PECOS EnrolledAccepts Medicare Assignment
907 N EAST ST, INDIANAPOLIS, IN 46202(317) 644-3461(317) 602-2654 Get Directions Write a Review

NPPES record last updated: May 15, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About David Michael Blackwell Ii Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVID MICHAEL BLACKWELL II MD (NPI 1104903111) is an individual family medicine provider in Indianapolis, Indiana, licensed in Indiana (01047203A) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Indiana University Health, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1104903111
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDAVID MICHAEL BLACKWELL IICredential: MD
Location Address907 N EAST STIndianapolis, IN 46202-3425
Mailing Address907 N East StIndianapolis, IN 46202-3425 · (317) 644-3461 · Fax (317) 602-2654
Fax(317) 602-2654
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 1996
Enumeration DateNovember 1, 2006
Last NPPES UpdateMay 15, 2025
NPPES CertifiedMay 15, 2025
NPI 1104903111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in IN · 01047203A Licensed in IN · 01047203
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

907 N EAST ST, Indianapolis, IN 46202

Secondary Practice Locations 2

Location 12625 E 62nd St Ste 2010Indianapolis, IN 46220-0037 · Phone (317) 216-2800 · Fax (317) 216-2777
Location 21701 N Senate BlvdIndianapolis, IN 46202-1239 · Phone (888) 484-3258

Other Identifiers 2

Other1102455200IN · Anthem Ptan
Medicaid300087633IN

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

David Michael Blackwell Ii Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8921055708
PECOS Enrollment IDI20050404000872
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
93 services60 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
24 services18 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Indiana University Health

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150056
Location1701 N Senate BlvdIndianapolis, IN 46202 · Marion County
Emergency services Birthing friendly

Indiana University Health North Hospital

Acute Care Hospitals · Carmel, IN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150161
Location11700 N Meridian StCarmel, IN 46032 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each A4388
DME-Orthotic Devices · category DF010N
1 supplier13 claims250 services$4.02 avg. paid by Medicare
Skin barrier, wipes or swabs, each A5120
DME-Orthotic Devices · category DF010N
1 supplier13 claims325 services$0.21 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
907 N EAST ST
INDIANAPOLIS, IN 46202
Family Medicine
907 N EAST ST
INDIANAPOLIS, IN 46202
Nurse Practitioner
907 N EAST ST
INDIANAPOLIS, IN 46202
Social Worker (Clinical)
907 N EAST ST
INDIANAPOLIS, IN 46202

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Blackwell's NPI number?

The NPI number for David Blackwell is 1104903111. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is David Blackwell located?

David Blackwell practices at 907 N East St, Indianapolis, IN 46202. The listed phone number is (317) 644-3461.

What is David Blackwell's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is David Blackwell enrolled in Medicare?

Yes. David Blackwell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does David Blackwell accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and UnitedHealthcare list David Blackwell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is David Blackwell affiliated with any hospitals?

According to CMS data, David Blackwell is affiliated with Indiana University Health and Indiana University Health North Hospital.

When was this NPI record last updated?

The NPPES record for David Blackwell was last updated on May 15, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.