Individual provider Active NPI

Anton Alexi Cabellon, D.O.

  • Nephrology Physician
  • Indianapolis, IN
National Provider Identifier
1013006972
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
02003509A Issued in IN
Practice address
535 Barnhill Dr
RT 150
Indianapolis, IN 46202-5116
Phone
(317) 948-0728
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 02003509A IN Primary

Addresses

Primary practice location

535 Barnhill Dr
RT 150
Indianapolis, IN 46202-5116

Mailing address

11409 Mears Dr
Zionsville, IN 46077-9819
Phone (317) 850-0242

Other identifiers 1

IdentifierTypeStateIssuer
200952960MedicaidIN

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
I20090911000201 IN Practitioner - Internal MedicinePractitioner - Nephrology 5991738833 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Impact Physician Group LLCGroup PAC ID 6204199086, 26 clinicians
Dialysis Vascular Specialists of Indiana LLCGroup PAC ID 5092194068, 3 clinicians

Practice addresses (Care Compare)

1260 City Ctr Dr
Carmel, IN 46032-3810
Phone (463) 333-9110

2140 N Capitol Ave
Suite 100
Indianapolis, IN 46202-1225
Phone (317) 644-1404

3050 N Lintel Dr
Bloomington, IN 47404-8945
Phone (812) 336-2815

4807 Edison Lakes Pkwy
Mishawaka, IN 46545-1112
Phone (574) 243-7727

Hospital & facility affiliations

  • Optimal Dialysis Dialysis facility, Indianapolis, IN, CCN 152709
  • Indiana University Health Bloomington Hospital Hospital, Bloomington, IN, CCN 150051
  • Ascension St Vincent Hospital Hospital, Indianapolis, IN, CCN 150084
  • Indiana University Health North Hospital Hospital, Carmel, IN, CCN 150161

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
02003509AINMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dialysis Vascular Specialists of Indiana LLC CurrentSince Oct 29, 2022 Accepting new patients
Impact Physician Group, Indiana LLC CurrentSince Nov 1, 2025 Accepting new patients
Impact Physician Group Nephrology, LLC Nephrology CurrentSince Sep 24, 2025 Accepting new patients
Indiana Vascular Surgery Center LLC CurrentSince Jul 13, 2024 Accepting new patients
Impact Physician Group, LLC CurrentSince Jul 4, 2023 Accepting new patients
University Medical Diagnostic Associates, Inc. Nephrology CurrentSince Aug 1, 2009 Accepting new patients
Ryan K Anderson D P M P C Past Accepting new patients
Optimal Dialysis Past Accepting new patients

Locations

7301 Solutions Ctr
Chicago, IL 60677

3050 N Lintel Dr
Bloomington, IN 47404
Phone (812) 336-2815

1260 City Center Dr
Carmel, IN 46032
Phone (463) 333-9110

13219 N Meridian St
Carmel, IN 46032
Phone (765) 751-5253

535 Barnhill Dr
#150
Indianapolis, IN 46202
Phone (317) 274-5292

2140 N Capitol Ave
Indianapolis, IN 46202
Phone (317) 349-7909

2140 N Capitol Ave
Ste 101
Indianapolis, IN 46202

250 N Shadeland Ave
Ste 130
Indianapolis, IN 46219
Phone (317) 962-4836

2140 N Capitol Ave
Ste 100
Indianapolis, IN 46202
Phone (317) 644-1404

550 University Blvd
Indianapolis, IN 46202
Phone (217) 274-5000

950 Park East Blvd
Lafayette, IN 47905
Phone (765) 237-5613

1585 Perry Worth Rd
Lebanon, IN 46052
Phone (756) 482-6391

4807 Edison Lakes Pkwy
Mishawaka, IN 46545
Phone (574) 243-7727

2401 W University Ave
Muncie, IN 47303
Phone (765) 747-3111

4488 Roslin Rd
Newburgh, IN 47630
Phone (812) 710-4038

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IAJIDD/Endpoint/IAJIDD
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 8

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1013006972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11409 MEARS DR",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "460779819",
            "telephone_number": "317-850-0242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 BARNHILL DR",
            "address_2": "RT 150",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462025116",
            "telephone_number": "317-948-0728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABELLON",
        "first_name": "ANTON",
        "middle_name": "ALEXI",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IN",
            "license": "02003509A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200952960",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.