DR. MARY ELIZABETH CONNELL (MD) – Internal Medicine Physician, NPI 1396194403
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,511 INTERNAL MEDICINE in IN
Provider Addresses for DR. MARY ELIZABETH CONNELL (MD)
340 W 10th Street
Indiana University School of Medicine
Indianapolis, IN 46202
Phone: (317) 274-3772
Type: Location
200, North Shadeland Avenue, Indianapolis, Marion, Indiana, 46219, United States
INDIANAPOLIS, IN 462194959
Phone: (317) 962-4942
Type: Mailing
IU Health West Hospital, 1111, Ronald Reagan Parkway, Avon, Hendricks County, Indiana, 46123, United States
AVON, IN 461237085
Phone: (317) 217-3649
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 69 Open Payments records for all available years, with a total value of $1,315.
Total Amount is formed as General ($1,315) + Research ($0) + Ownership ($0) = $1,315.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Amgen Inc. ($296).
Total Amount
$1,315
General + Research + Ownership
Payments
69
Total payment records
General Amount
$1,315
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Amgen Inc. | $296 |
| UCB, Inc. | $243 |
| Mylan Specialty L.P. | $167 |
| AstraZeneca Pharmaceuticals LP | $100 |
| Bayer Healthcare Pharmaceuticals Inc. | $59 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-02-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210211001451 | I | Internal Medicine | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 46202)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Cardiovascular Disease (Cardiology) | IL | |
| Family Practice | LA | |
| Nurse Practitioner | IL | |
| Cardiovascular Disease (Cardiology), Internal Medicine, Interventional Cardiology | IL | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | IL | |
| Family Practice, Hospitalist | IL | |
| - | IL | |
| - | IL |
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