MEDICARE: LOUIS MICHAEL WRIGHT M.D.

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	207R00000X	Internal Medicine Physician	01034577B	IN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	P00094121	OTHER	IN	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	300168515	OTHER	IN	PROHEALTH
2	300168515 GROUP #30	OTHER	IN	FEDERAL ID NO.
3	000000316527	OTHER	IN	ANTHEM
5	RR MCARE	OTHER	IN	214530B
6	300168515	OTHER	IN	COMM INSURANCE
7	300168515	OTHER	IN	TRICARE
8	M400035621	OTHER	IN	MCE PTAN
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	000000316527	OTHER	IN	BLUE SHIELD
11	P00971680	OTHER	IN	RRMCE PTAN

General Provider Information

NPI Number	:	1386641074
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LOUIS MICHAEL WRIGHT M.D.

Provider Business Mailing Address
First Line	:	8321 TEQUISTA CIR
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46236-8816
Country	:	US
Telephone Number	:	317-690-9764
Fax Number	:

Provider Business Practice Location Address
First Line	:	8321 TEQUISTA CIR
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46236-8816
Country	:	US
Telephone Number	:	317-690-9764
Fax Number	:

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

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	03/31/2026

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Directions to “ LOUIS MICHAEL WRIGHT M.D.” Practice Location

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