NPIMap

State of Indiana, Auditor of State

Organization Active NPI Public Health or Welfare Agency · Indianapolis, IN

NPI 1023613403 · NPPES record last updated Dec 2, 2020

Key facts

NPI
1023613403
Entity type
Organization (NPI type 2)
Primary specialty
Public Health or Welfare Agency 251K00000X
Legal business name
STATE OF INDIANA, AUDITOR OF STATE
Practice address
2 N Meridian St
Indianapolis, IN 46204-3021
Phone
(317) 233-7400
NPI assigned
Dec 2, 2020
Organization subpart
Yes
Parent organization (as reported)
STATE OF INDIANA AUDITOR OF STATE

Authorized official

Name
Dr. Kristina M Box, MD NPI 1730161647
Title
State Health Commissioner
Phone
(317) 233-7400

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

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 31

Organizations that report the same tax identification number in the National Provider Directory.

View all 31

Practitioners 121

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

View all 121

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D2202331Indiana Department of Health Div of Emergency
2 N Meridian St, Indianapolis, IN 46204		Certificate of waiverNov 24, 2026

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IN

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Neurodiagnostic Institute
Indianapolis, IN · CCN 154008		 Hospital Operational/Managerial Control (100%) Sep 16, 2015
Evansville State Hospital
Evansville, IN · CCN 154056		 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 22, 2010
Madison State Hospital
Madison, IN · CCN 154019		 Hospital 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2010
Richmond State Hospital
Richmond, IN · CCN 154018		 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
Indiana Veterans Home
West Lafayette, IN · CCN 155787		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 21, 2011

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20201229000542 IN Part B Supplier - Mass Immunization (Roster Biller Only) 1759280118 Practice locations: Indianapolis, IN

National Provider Directory

Tax ID family
State of Indiana Auditor of State (32 organizations share this tax ID)
Part of
State of Indiana Auditor of State

Locations

2601 Cold Spring Rd
#D
Indianapolis, IN 46222
Phone (317) 941-4000

2 N Meridian St
Ofc Of
Indianapolis, IN 46204

2 N Meridian St
Ofc
Indianapolis, IN 46204
Phone (317) 233-7400

2 N Meridian St
Indianapolis, IN 46204
Phone (317) 232-0882

2601 Cold Spring Rd
Indianapolis, IN 46222
Phone (317) 941-4000

550 W 16th St
#N132
Indianapolis, IN 46202
Phone (317) 921-5807

498 NW 18th St
Richmond, IN 47374
Phone (765) 966-0511

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Yes

Addresses

Primary practice location

2 N Meridian St
Indianapolis, IN 46204-3021

Mailing address

2 N Meridian St
Indianapolis, IN 46204-3021
Phone (317) 233-7400

Other identifiers

IdentifierTypeStateIssuer
100284680AMedicaidIN

Other names

  • Indiana Department of Health Doing business as

Other providers in Indianapolis, IN

All providers in Indianapolis, IN · Public Health or Welfare Agency in Indiana

Sources for this page

Verify at the official NPI Registry.