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JAMES T BLACKWELL MD
NPI 1215023932
Pediatrics in Indianapolis, IN

Active since October 04, 2006PECOS Enrolled
5515 W 38TH ST, INDIANAPOLIS, IN 46254(317) 880-8211 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2025, Nov 24, 2021 (2 updates tracked since 2021).

About James T Blackwell Md NPPES

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

JAMES T BLACKWELL MD (NPI 1215023932) is an individual pediatrics provider in Indianapolis, Indiana, licensed in Indiana (01062444A) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215023932
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameJAMES T BLACKWELLCredential: MD
Location Address5515 W 38TH STIndianapolis, IN 46254-2919
Mailing AddressPo Box 637764Cincinnati, OH 45263-7764 · (317) 880-3939
Phone(317) 880-8211
Sole ProprietorNo
Enumeration DateOctober 4, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2025
✔ NPI 1215023932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in IN · 01062444A
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
5515 W 38TH ST, Indianapolis, IN 46254
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Other Identifiers 2

Other000000490564IN · Anthem
Medicaid200829660IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

James T Blackwell Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46254 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.

Other Providers at the Same Location NPPES 20

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

KRISTIN LEIGH ROTH DPT
Physical Therapist
5515 W 38TH ST
INDIANAPOLIS, IN 46254
Marion County (317) 880-0282
ERIN J PHIPPS MD
Pediatrics
5515 W 38TH ST
INDIANAPOLIS, IN 46254
Marion County (317) 880-3838
DR. RANDALL GROUT M.D., M.S.
Pediatrics
5515 W 38TH ST
INDIANAPOLIS, IN 46254
Marion County (317) 880-3838
THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY
Clinic/Center (Federally Qualified Health Center (FQHC))
5515 W 38TH ST
INDIANAPOLIS, IN 46254
Marion County (317) 880-3838
MALLORY ELIZABETH KASCHAK PHARMD
Pharmacist
5515 W 38TH ST
INDIANAPOLIS, IN 46254
Marion County (317) 880-0100
KATHERINE GILKEY MD
Internal Medicine
5515 W 38TH ST
INDIANAPOLIS, IN 46254
Marion County (317) 880-3838
STACEY L MURRELL NP
Nurse Practitioner
5515 W 38TH ST
INDIANAPOLIS, IN 46254
Marion County (317) 880-3838
DR. MICHELLE LYNN BRYANT M.D.
Internal Medicine
5515 W 38TH ST
INDIANAPOLIS, IN 46254
Marion County (317) 880-3838

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 James Blackwell's NPI number?

The NPI number for James Blackwell is 1215023932. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is James Blackwell located?

James Blackwell practices at 5515 W 38th St, Indianapolis, IN 46254. The listed phone number is (317) 880-8211.

What is James Blackwell's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is James Blackwell enrolled in Medicare?

Yes. James Blackwell is registered in the Medicare PECOS enrollment system.

What insurance does James Blackwell accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and UnitedHealthcare list James 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.

When was this NPI record last updated?

The NPPES record for James Blackwell was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.