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MATTHEW CRANDALL
NPI 1265249007
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Active since December 16, 2024PECOS Enrolled
340 W 10TH ST, INDIANAPOLIS, IN 46202(317) 274-8157 Get Directions Write a Review

NPPES record last updated: January 27, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Matthew Crandall NPPES

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

MATTHEW CRANDALL (NPI 1265249007) is an individual student in an organized health care education/training program in Indianapolis, Indiana and active in the NPI registry since December 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265249007
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMATTHEW CRANDALL
Location Address340 W 10TH STIndianapolis, IN 46202-3082
Mailing Address340 W 10th StIndianapolis, IN 46202-3082
Phone(317) 274-8157
Sole ProprietorNo
Enumeration DateDecember 16, 2024
Last NPPES UpdateJanuary 27, 2025
NPPES CertifiedJanuary 27, 2025
✔ NPI 1265249007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
340 W 10TH ST, Indianapolis, IN 46202
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Matthew Crandall 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.

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.

KYLE R EDWARDS
Student in an Organized Health Care Education/Training Program
340 W 10TH ST
INDIANAPOLIS, IN 46202
Marion County (317) 274-8157
KALI KONSTANTINOPOULOS
Student in an Organized Health Care Education/Training Program
340 W 10TH ST
INDIANAPOLIS, IN 46202
Marion County (317) 274-8157
LAURA E LEMEN
Student in an Organized Health Care Education/Training Program
340 W 10TH ST
INDIANAPOLIS, IN 46202
Marion County (317) 476-4780
MADELINE E KELLER
Student in an Organized Health Care Education/Training Program
340 W 10TH ST
INDIANAPOLIS, IN 46202
Marion County (317) 750-6186
STEPHANIE SOTELO
Student in an Organized Health Care Education/Training Program
340 W 10TH ST
INDIANAPOLIS, IN 46202
Marion County (317) 274-8157
MR. RYAN PATRICK MCARDLE
Student in an Organized Health Care Education/Training Program
340 W 10TH ST
INDIANAPOLIS, IN 46202
Marion County (317) 274-8157
ASHLYN JOHNSON MORRIS
Student in an Organized Health Care Education/Training Program
340 W 10TH ST
INDIANAPOLIS, IN 46202
Marion County (317) 274-8157
MACKENZIE JOHNSON
Student in an Organized Health Care Education/Training Program
340 W 10TH ST
INDIANAPOLIS, IN 46202
Marion County (317) 274-8157

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 Matthew Crandall's NPI number?

The NPI number for Matthew Crandall is 1265249007. It was assigned to this individual provider in the NPPES registry on December 16, 2024.

Where is Matthew Crandall located?

Matthew Crandall practices at 340 W 10th St, Indianapolis, IN 46202. The listed phone number is (317) 274-8157.

What is Matthew Crandall's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Matthew Crandall enrolled in Medicare?

Yes. Matthew Crandall is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Matthew Crandall was last updated on January 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.