Active NPI
Ivana Radovanovic, MD
- Pediatrics Physician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD20050640
- Practice address
- 5550 S East St Ste C
Indianapolis, IN 46227-1991 - Phone
- (317) 534-4660
- Fax
- (317) 782-4301
- NPI assigned
- Jul 11, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD20050640 | NM | Primary |
Addresses
Primary practice location
5550 S East St Ste C
Indianapolis, IN 46227-1991
Mailing address
11 Trafalgar SQ
Trafalgar, IN 46181-9515
Phone (317) 680-9103
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Indiana University School of Medicine, 2002
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
11 Trafalgar SQ
Trafalgar, IN 46181-9515
14 Trafalgar SQ
Trafalgar, IN 46181-9515
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD20050640 | NM | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Windrose Health Network Inc | Current | Accepting new patients | |
| Windrose Health Network Inc | Current | Accepting new patients | |
| Windrose Health Network, Inc. | Past | Accepting new patients | |
| Windrose Health Network, Inc. | Past | Accepting new patients | |
| Windrose Health Network, Inc. | Past | Accepting new patients | |
| Windrose Health Network, Inc. | Past | Accepting new patients |
Locations
911 E Main Cross St
Edinburgh, IN 46124
Phone (317) 739-4895
55 N Milford Dr
Franklin, IN 46131
Phone (317) 648-7169
163 Butner Dr
Hope, IN 47246
Phone (812) 546-6000
5550 S East St
Ste C
Indianapolis, IN 46227
Phone (317) 534-4660
14 Trafalgar Sq
Trafalgar, IN 46181
Phone (317) 412-9190
Interoperability endpoints
- iradovanovic10460@ahs.direct-ci.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Trafalgar, IN
- NPI 1568404226
-
- Federally Qualified Health Center (FQHC)
- Avon, IN
- NPI 1447822150
-
- Federally Qualified Health Center (FQHC)
- Franklin, IN
- NPI 1194003657
-
- Federally Qualified Health Center (FQHC)
- Trafalgar, IN
- NPI 1255611331
-
- Federally Qualified Health Center (FQHC)
- Hope, IN
- NPI 1346520426
-
- Federally Qualified Health Center (FQHC)
- Indianapolis, IN
- NPI 1881061059
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752796800000",
"number": "1003840208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 TRAFALGAR SQ",
"city": "TRAFALGAR",
"state": "IN",
"postal_code": "461819515",
"telephone_number": "317-680-9103",
"fax_number": "317-878-2355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5550 S EAST ST STE C",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462271991",
"telephone_number": "317-534-4660",
"fax_number": "317-782-4301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RADOVANOVIC",
"first_name": "IVANA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-11",
"last_updated": "2025-07-18",
"certification_date": "2025-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NM",
"license": "MD20050640",
"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 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.