DOROTHY LEE SUMMERLIN- GRADY CRNA
NPI 1336192376
Nurse Anesthetist, Certified Registered in Indianapolis, IN

Q: What is Dorothy Summerlin- Grady's NPI number?

The NPI number for Dorothy Summerlin- Grady is 1336192376. It was assigned to this individual provider in the NPPES registry on May 19, 2006.

Q: What is Dorothy Summerlin- Grady's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Active since May 19, 2006

8051 S EMERSON AVE STE 150, INDIANAPOLIS, IN 46237(317) 865-2955(317) 865-2954 Get Directions Write a Review

NPPES record last updated: February 5, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 5, 2026, Dec 14, 2023, Jan 10, 2017 (3 updates tracked since 2017).

On this page

About Dorothy Lee Summerlin- Grady Crna NPPES

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

DOROTHY LEE SUMMERLIN- GRADY CRNA (NPI 1336192376) is an individual nurse anesthetist, certified registered in Indianapolis, Indiana, licensed in Indiana (28151003C) and active in the NPI registry since May 2006. She maintains a secondary practice location in Mishawaka.

NPPES Registry Identity

NPI1336192376

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameDOROTHY LEE SUMMERLIN- GRADYCredential: CRNA

Location Address8051 S EMERSON AVE STE 150Indianapolis, IN 46237-8635

Mailing Address5955 Claybourne DrBargersville, IN 46106-8391 · (317) 966-5576

Phone(317) 865-2955

Fax(317) 865-2954

Sole ProprietorNo

Enumeration DateMay 19, 2006

Last NPPES UpdateFebruary 5, 20263 updates tracked since enumeration

NPPES CertifiedFebruary 5, 2026

✔ NPI 1336192376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

Licenses✔ Licensed in IN · 28151003C✔ Licensed in FL · 3420422✔ Licensed in OH · 303499

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

8051 S EMERSON AVE STE 150, Indianapolis, IN 46237

Open in Google Maps ↗

Secondary Practice Location 1

Location 1250 E Day Rd Ste 300Mishawaka, IN 46545-3471 · Phone (574) 968-0283 · Fax (574) 855-5699

Other Identifiers 2

Medicaid200425840IN

Medicaid2436813OH

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dorothy Lee Summerlin- Grady Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

Medicare enrollment records show Dorothy Summerlin- Grady reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Midwest Gastroenterology LLC

0.2 mi

Anesthesiology

8051 S EMERSON AVE STE 150
Indianapolis, IN 46237

Reassigned Medicare billing, Indiana enrollment
13 clinicians in this Medicare group

NPI 1528550241 (317) 865-2955

Nature Coast Anesthesia Providers, P.A.

788 mi

Nurse Anesthetist, Certified Registered

17560 US HIGHWAY 441
Mount Dora, FL 32757

Reassigned Medicare billing, Florida enrollment
Medicare enrollment name: Nature Coast Anesthesia Providers PA
66 clinicians in this Medicare group

NPI 1578557104 (386) 697-1364

Anesthesiologists Of Greater Orlando Inc

789 mi

Anesthesiology

1053 MEDICAL CENTER DR
Orange City, FL 32763

Reassigned Medicare billing, Florida enrollment
530 clinicians in this Medicare group

NPI 1457300998 (954) 838-2371

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 3

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

ADAM ZIEGLER CRNA

Nurse Anesthetist, Certified Registered

8051 S EMERSON AVE STE 150
INDIANAPOLIS, IN 46237

Marion County (317) 865-2955

MIDWEST GASTROENTEROLOGY LLC

Anesthesiology

8051 S EMERSON AVE STE 150
INDIANAPOLIS, IN 46237

Marion County (317) 865-2955

THE ENDOSCOPY CENTER AT ST. FRANCIS, LLC

Clinic/Center (Endoscopy)

8051 S EMERSON AVE STE 150
INDIANAPOLIS, IN 46237

Marion County (317) 857-4024

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 Dorothy Summerlin- Grady's NPI number?

The NPI number for Dorothy Summerlin- Grady is 1336192376. It was assigned to this individual provider in the NPPES registry on May 19, 2006.

Where is Dorothy Summerlin- Grady located?

Dorothy Summerlin- Grady practices at 8051 S Emerson Ave Ste 150, Indianapolis, IN 46237. The listed phone number is (317) 865-2955.

What is Dorothy Summerlin- Grady's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Dorothy Summerlin- Grady enrolled in Medicare?

Yes. Dorothy Summerlin- Grady is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Dorothy Summerlin- Grady's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dorothy Summerlin- Grady reassigns Medicare benefits to 3 organizations: Midwest Gastroenterology LLC (Indianapolis, IN), Nature Coast Anesthesia Providers, P.A. (Mount Dora, FL) and Anesthesiologists Of Greater Orlando Inc (Orange City, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dorothy Summerlin- Grady's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Dorothy Summerlin- Grady was last updated on February 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.