University Vascular Surgery, Inc

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

UNIVERSITY VASCULAR SURGERY, INC

Practice address

1801 Senate Blvd
MPC 2, Suite D3500
Indianapolis, IN 46202-1228

Phone

(317) 962-0280

Fax

(317) 962-0289

NPI assigned

Aug 27, 2006

Last updated

Sep 30, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Judith Coleman

Title

Cfo

Phone

(317) 948-3525

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• University Surgeons, Inc.

  • Surgery Physician
  • Indianapolis, IN
  • NPI 1316966229

  Member Of

  NPD member

Locations

Practitioners 28

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kelly Sue Davis, AGPCNP-BC

  • Gerontology Nurse Practitioner
  • Indianapolis, IN
  • NPI 1588038475
  Medicare reassignment Care Compare group NPD
• Andres Fajardo, MD

  • Vascular Surgery Physician
  • Indianapolis, IN
  • NPI 1447417829
  Medicare reassignment Care Compare group NPD
• Theresa Lynne Giannini, NP

  • Adult Health Nurse Practitioner
  • Indianapolis, IN
  • NPI 1588775571
  Medicare reassignment Care Compare group NPD
• Andrew Alexander Gonzalez, MD

  • Vascular Surgery Physician
  • Bloomington, IN
  • NPI 1194041764
  Medicare reassignment Care Compare group NPD
• Emily Ann Goodman, MD

  • Vascular Surgery Physician
  • Lafayette, IN
  • NPI 1912401308
  Medicare reassignment Care Compare group NPD
• Alok Kumar Gupta, M.D.

  • Vascular Surgery Physician
  • Indianapolis, IN
  • NPI 1962635177
  Medicare reassignment Care Compare group NPD
• David Anthony Johnson, N.P.

  • Family Nurse Practitioner
  • Indianapolis, IN
  • NPI 1164660270
  Medicare reassignment Care Compare group NPD
• John Gabriel Maijub, MD

  • Vascular Surgery Physician
  • Bloomington, IN
  • NPI 1467776013
  Medicare reassignment Care Compare group NPD
• Amy M Miller-Smith, N.P.

  • Nurse Practitioner
  • Avon, IN
  • NPI 1225409402
  Medicare reassignment Care Compare group NPD
• Raghunandan Lakshmana Motaganahalli

  • Vascular Surgery Physician
  • Bloomington, IN
  • NPI 1285836932
  Medicare reassignment Care Compare group NPD
• Sherri Lynn Musholt, NP

  • Gerontology Nurse Practitioner
  • Indianapolis, IN
  • NPI 1649904541
  Medicare reassignment Care Compare group NPD
• Nicole Kristin Ooley, NP

  • Gerontology Nurse Practitioner
  • Indianapolis, IN
  • NPI 1215695747
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1156636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601424000000",
    "number": "1043328487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE STE 200",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959",
            "telephone_number": "877-668-5621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 SENATE BLVD",
            "address_2": "MPC 2, SUITE D3500",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462021228",
            "telephone_number": "317-962-0280",
            "fax_number": "317-962-0289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY VASCULAR SURGERY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-27",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "317-948-3525"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• University Surgeons Pediatrics LLC
• University Surgeons, Inc
• University Surgeons, Inc.
• University Transplant Associates, Inc.
• University Urologists, Inc., PC
• Unlocking the Spectrum
• Kathleen T Unroe, MD
• Lauren Unruh, PA-C
• Ryan Christopher Unruh, MD
• Elissia Unseld

• Vascular Surgery Physician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Vascular Surgery Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.