Organization Active NPI

Sarepta Medical Clinic

  • Urgent Care Clinic/Center
  • Indianapolis, IN
National Provider Identifier
1003282161
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
SAREPTA MEDICAL CLINIC
Practice address
7411 Heathrow Way Ste a
Indianapolis, IN 46241-9527
Phone
(317) 852-3505
Fax
(317) 893-3053
NPI assigned
Aug 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Tony Limbil, M.D.NPI 1356572473
Title
Ceo
Phone
(217) 766-8887

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
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

7411 Heathrow Way Ste a
Indianapolis, IN 46241-9527

Mailing address

7411 Heathrow Way
Suite a
Indianapolis, IN 46241-9527
Phone (317) 852-3505

Other practice location 1

1430 N Green St Ste J
Brownsburg, IN 46112-7863
Phone (217) 766-8887

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151012000305 IN Part B Supplier - Clinic/Group Practice 0547579633 Receives reassigned benefits from 1 practitioner
Practice locations: Indianapolis, IN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D2103754Sarepta Medical Clinic7411 Heathrow Way Suite a, Indianapolis, IN 46241Provider-performed microscopyOct 19, 2027

National Provider Directory

National Provider Directory

Locations

1430 N Green St
Ste J
Brownsburg, IN 46112
Phone (217) 766-8887

Practitioners & affiliated clinicians

Practitioners 2

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": "1439337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1003282161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7411 HEATHROW WAY",
            "address_2": "SUITE A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462419527",
            "telephone_number": "317-852-3505",
            "fax_number": "317-893-3053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7411 HEATHROW WAY STE A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462419527",
            "telephone_number": "317-852-3505",
            "fax_number": "317-893-3053"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1430 N Green St Ste J",
            "address_purpose": "LOCATION",
            "city": "Brownsburg",
            "state": "IN",
            "postal_code": "461127863",
            "country_code": "US",
            "telephone_number": "217-766-8887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SAREPTA MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-12",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LIMBIL",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "217-766-8887",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.