MEDICARE: ALEXIS T MEDARIS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	01094323A	IN
2	390200000X	Student in an Organized Health Care Education/Training Program

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1255036026
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXIS T MEDARIS MD

Provider Business Mailing Address
First Line	:	1701 N SENATE BLVD RM AG012
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46202-1239
Country	:	US
Telephone Number	:	317-962-5975
Fax Number	:

Provider Business Practice Location Address
First Line	:	1701 N SENATE BLVD RM AG012
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46202-1239
Country	:	US
Telephone Number	:	317-962-5975
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/03/2023
Last Update Date	:	03/24/2026

Similar Medicare Providers

1366326423 — KATRINA LAUREN RETZKE PHARMD
Practice Location Address:

1701 N SENATE BLVD
INDIANAPOLIS, IN
46202-1239

Practice Phone: 630-776-6698
Practice Fax:

1447244058 — JENNIFER LEE HART CRNA
Practice Location Address:

1701 N SENATE BLVD
INDIANAPOLIS, IN
46202-1239

Practice Phone: 317-577-4200
Practice Fax: 317-577-9503

1811904790 — CRISTINA L ASHWORTH CFNP
Practice Location Address:

1701 N SENATE BLVD
INDIANAPOLIS, IN
46202-1239

Practice Phone: 317-962-3256
Practice Fax: 317-174-2940

1114946852 — CHRISTOPHER L STEWART CRNA
Practice Location Address:

1701 N SENATE BLVD
INDIANAPOLIS, IN
46202-1239

Practice Phone: 317-577-4200
Practice Fax: 317-577-9503

1144809112 — BRADLEY DEAN UPCHURCH MD
Practice Location Address:

1701 N SENATE BLVD # AG012
INDIANAPOLIS, IN
46202-1239

Practice Phone: 317-962-5975
Practice Fax:

1326774050 — INNKYU MOON
Practice Location Address:

1701 SENATE BLVD
INDIANAPOLIS, IN
46202-1239

Practice Phone: 888-484-3258
Practice Fax:

Directions to “ ALEXIS T MEDARIS MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.