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THOMAS R MARSHALL MD
NPI 1932153947
Internal Medicine in Indianapolis, IN

Active since May 22, 2006PECOS EnrolledAccepts Medicare Assignment
6820 PARKDALE PL, STE 100, INDIANAPOLIS, IN 46254(317) 297-7773(317) 297-3619 Get Directions Write a Review

NPPES record last updated: January 14, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Thomas R Marshall Md NPPES

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

THOMAS R MARSHALL MD (NPI 1932153947) is an individual internal medicine provider in Indianapolis, Indiana, licensed in Indiana (01032356A) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Indiana University Health, and is a graduate of Indiana University School Of Medicine (1982).

NPPES Registry Identity

NPI1932153947
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameTHOMAS R MARSHALLCredential: MD
Location Address6820 PARKDALE PL, STE 100Indianapolis, IN 46254-6601
Mailing Address250 N Shadeland Ave, Ste 130 Provider EnrollmentIndianapolis, IN 46219-4959
Phone(317) 297-7773
Fax(317) 297-3619
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 1982
Enumeration DateMay 22, 2006
Last NPPES UpdateJanuary 14, 2021
NPPES CertifiedJanuary 14, 2021
✔ NPI 1932153947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IN · 01032356A
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
6820 PARKDALE PL, Indianapolis, IN 46254
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Other Identifiers 1

Medicaid200040630IN

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 and accepts Medicare assignment

Thomas R Marshall 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 ID2466588041
PECOS Enrollment IDI20100407000783
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 9

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 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.
102 services67 patients
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.
82 services53 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
61 services61 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
57 services57 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
56 services29 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
54 services54 patients

Hospital Affiliations CMS Care Compare 3

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

Iu Health West Hospital

Acute Care Hospitals · Avon, IN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number150158
Location1111 N Ronald Reagan PkwyAvon, IN 46123 · Hendricks 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 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
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

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers22 claims32 services$6.19 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 20

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

AMERICAN HEALTH NETWORK OF INDIANA, LLC
Internal Medicine (Hematology & Oncology)
6820 PARKDALE PL, SUITE 200
INDIANAPOLIS, IN 46254
Marion County (317) 329-7430
EAGLE CREEK DERMATOLOGY
Dermatology (Clinical & Laboratory Dermatological Immunology)
6820 PARKDALE PL, SUITE 211
INDIANAPOLIS, IN 46254
Marion County (317) 329-7050
DR. ZAINAB SHER MD
Internal Medicine
6820 PARKDALE PL, SUITE 100
INDIANAPOLIS, IN 46254
Marion County (317) 297-7773
DR. FATEMA SABRI ALQUDAIHI BDS, MSD
Dentist
6820 PARKDALE PL
INDIANAPOLIS, IN 46254
Marion County (317) 329-7373
DR. KAREN L GALLAGHER MD
Obstetrics & Gynecology
6820 PARKDALE PL, STE 212
INDIANAPOLIS, IN 46254
Marion County (317) 329-7022
WILSHIRE MEDICAL P.C.
Obstetrics & Gynecology
6820 PARKDALE PL, STE 212
INDIANAPOLIS, IN 46254
Marion County (317) 329-7022
AMERICAN HEALTH NETWORK OF INDIANA, LLC
Durable Medical Equipment & Medical Supplies
6820 PARKDALE PL, SUITE 105
INDIANAPOLIS, IN 46254
Marion County (317) 328-6730
DR. SUNIL B PATEL DO
Psychiatry & Neurology (Psychiatry)
6820 PARKDALE PL, STE 115
INDIANAPOLIS, IN 46254
Marion County (317) 329-7300

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 Thomas Marshall's NPI number?

The NPI number for Thomas Marshall is 1932153947. It was assigned to this individual provider in the NPPES registry on May 22, 2006.

Where is Thomas Marshall located?

Thomas Marshall practices at 6820 Parkdale Pl Ste 100, Indianapolis, IN 46254. The listed phone number is (317) 297-7773.

What is Thomas Marshall's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Thomas Marshall enrolled in Medicare?

Yes. Thomas Marshall 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 Thomas Marshall accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Thomas Marshall 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 Thomas Marshall affiliated with any hospitals?

According to CMS data, Thomas Marshall is affiliated with Indiana University Health, Iu Health West Hospital and Indiana University Health North Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Marshall was last updated on January 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.