Individual provider Active NPI

Ivana Radovanovic, MD

  • Pediatrics Physician
  • Indianapolis, IN
National Provider Identifier
1003840208
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD20050640 Issued in NM
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

Updated by the provider on Jul 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260116003734 IN Practitioner - Family PracticePractitioner - Pediatric Medicine 2668489758 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Pediatric Medicine
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

LicenseStateTypeSpecialty
MD20050640NMMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Windrose Health Network Inc CurrentSince Nov 29, 2025 Accepting new patients
Windrose Health Network Inc CurrentSince Nov 29, 2025 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.