Organization Active NPI

Reconstructive Hand to Shoulder of Indiana LLC

  • Orthopaedic Hand Surgery Physician
  • Carmel, IN
National Provider Identifier
1003000399
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
Legal business name
RECONSTRUCTIVE HAND TO SHOULDER OF INDIANA LLC
Practice address
13431 Old Meridian Street
Suite 225
Carmel, IN 46032
Phone
(317) 249-2616
Fax
(317) 249-2618
NPI assigned
Aug 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Michael E Pannunzio, M.D.NPI 1598700783
Title
Partner
Phone
(317) 249-2616

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XS0106X IN Primary

Addresses

Primary practice location

13431 Old Meridian Street
Suite 225
Carmel, IN 46032

Mailing address

13431 Old Meridian St Ste 225
Carmel, IN 46032-1417
Phone (317) 249-2616

Other identifiers 1

IdentifierTypeStateIssuer
01063681AOtherINMEDICAL LICENSE

Other names 1

  • Reconstructive Hand Surgeons of Indiana Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070719000175 IN Part B Supplier - Clinic/Group Practice 7719088806 Receives reassigned benefits from 8 practitioners
Practice locations: Carmel, IN

National Provider Directory

National Provider Directory

Locations

1312 W Arch Haven Ave
Ste B
Bloomington, IN 47403

1310 W Arch HVN Ave Ste B
Bloomington, IN 47403

13431 Old Meridian St
Ste 225
Carmel, IN 46032
Phone (317) 249-2616

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765238400000",
    "number": "1003000399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13431 OLD MERIDIAN ST STE 225",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460321417",
            "telephone_number": "317-249-2616",
            "fax_number": "317-249-2618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13431 OLD MERIDIAN STREET",
            "address_2": "SUITE 225",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "46032",
            "telephone_number": "317-249-2616",
            "fax_number": "317-249-2618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECONSTRUCTIVE HAND TO SHOULDER OF INDIANA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-30",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A",
        "authorized_official_last_name": "PANNUNZIO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "317-249-2616",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "01063681A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reconstructive Hand Surgeons of Indiana",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Carmel, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.