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BLAIR DAY WOOTEN MD
NPI 1316529522
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Active since April 27, 2021PECOS Enrolled
10122 E 10TH ST STE 100, INDIANAPOLIS, IN 46229(317) 355-5717(614) 566-6902 Get Directions Write a Review

NPPES record last updated: May 31, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 8, 2024, Mar 28, 2023, Apr 27, 2021 (3 updates tracked since 2021).

About Blair Day Wooten Md NPPES

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

BLAIR DAY WOOTEN MD (NPI 1316529522) is an individual student in an organized health care education/training program in Indianapolis, Indiana, licensed in Indiana (11023402A) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316529522
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameBLAIR DAY WOOTENCredential: MD
Location Address10122 E 10TH ST STE 100Indianapolis, IN 46229-2697
Mailing Address10122 E 10th St Ste 100Indianapolis, IN 46229-2697 · (317) 355-5717 · Fax (317) 355-3760
Phone(317) 355-5717
Fax(614) 566-6902
Sole ProprietorNo
Enumeration DateApril 27, 2021
Last NPPES UpdateMay 31, 20243 updates tracked since enumeration
NPPES CertifiedMay 31, 2024
✔ NPI 1316529522 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
License✔ Licensed in IN · 11023402A
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.

10122 E 10TH ST STE 100, Indianapolis, IN 46229
Open in Google Maps ↗

Other Identifiers 1

Medicaid300090716IN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Blair Day Wooten 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.

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.

LAUREN AMANDA CALLAHAN
Nurse Practitioner (Family)
10122 E 10TH ST STE 100
INDIANAPOLIS, IN 46229
Marion County (317) 355-5717
SHELBY N O'BRIEN LCSW
Social Worker (Clinical)
10122 E 10TH ST STE 100
INDIANAPOLIS, IN 46229
Marion County (616) 826-7303
AARON THARP DO
Student in an Organized Health Care Education/Training Program
10122 E 10TH ST STE 100
INDIANAPOLIS, IN 46229
Marion County (317) 355-5717
DR. KENT PHILIP BRANTLY M.D.
Family Medicine
10122 E 10TH ST STE 100
INDIANAPOLIS, IN 46229
Marion County (317) 355-5717
DR. ALISON CASE MD
Family Medicine
10122 E 10TH ST STE 100
INDIANAPOLIS, IN 46229
Marion County (317) 355-5717
CAITLIN SHIVAUN WELCH MD
Student in an Organized Health Care Education/Training Program
10122 E 10TH ST STE 100
INDIANAPOLIS, IN 46229
Marion County (931) 252-5036
KATHERINE MORAVEC DO
Student in an Organized Health Care Education/Training Program
10122 E 10TH ST STE 100
INDIANAPOLIS, IN 46229
Marion County (317) 355-5717
ZEINAB O HASSAN MD
Student in an Organized Health Care Education/Training Program
10122 E 10TH ST STE 100
INDIANAPOLIS, IN 46229
Marion County (317) 355-5717

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 Blair Wooten's NPI number?

The NPI number for Blair Wooten is 1316529522. It was assigned to this individual provider in the NPPES registry on April 27, 2021.

Where is Blair Wooten located?

Blair Wooten practices at 10122 E 10th St Ste 100, Indianapolis, IN 46229. The listed phone number is (317) 355-5717.

What is Blair Wooten's specialty?

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

Is Blair Wooten enrolled in Medicare?

Yes. Blair Wooten is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Blair Wooten was last updated on May 31, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.