DR. MATTHEW ROBERT OVERLEY M.D. NPI 1558537902

NPI Information

NPI: 1558537902
Provider Name: DR. MATTHEW ROBERT OVERLEY, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
PECOS Registration: Yes
Address: 6029 W 10TH ST
INDIANAPOLIS, IN
ZIP 46224
Phone: (317) 957-2550

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NPI Details

DR. Matthew Robert Overley, M.D. is a family medicine in Indianapolis, IN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Matthew Robert Overley, M.D. NPI is 1558537902. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6029 W 10TH ST
INDIANAPOLIS, IN
ZIP 46224-115
Phone: (317) 957-2550
Fax: (317) 957-2560

The NPI 1558537902 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/6/2008 and was last updated on 8/13/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	207Q00000X	Family Medicine	01066941A	INDIANA	No
2	390200000X	Student in an Organized Health Care Education/Training Program			No
3	207Q00000X	Family Medicine	273824	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	RES000	MEDICARE UPIN	INDIANA
2	201005150	MEDICAID	INDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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