Indiana Vascular Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

INDIANA VASCULAR SURGERY CENTER LLC

Practice address

2140 N Capitol Ave Ste 100
Indianapolis, IN 46202-1225

Phone

(317) 644-1404

NPI assigned

May 18, 2022

Organization subpart

No

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

Authorized official

Name

Sanjay MohindraNPI 1881649176

Title

Owner

Phone

(317) 644-1404

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Listed as

Indiana Vascular Surgery Center LLCCCN 15C0002009

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Locations

Practitioners 3

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

• Sanjay Mohindra, MD

  • Vascular & Interventional Radiology Physician
  • Lafayette, IN
  • NPI 1881649176
  Medicare reassignment NPD Authorized official
• Anton Alexi Cabellon, D.O.

  • Nephrology Physician
  • Indianapolis, IN
  • NPI 1013006972
  Medicare reassignment NPD
• Andrea Lynn Wojdyla, CRNA

  • Certified Registered Nurse Anesthetist
  • Indianapolis, IN
  • NPI 1619291358
  Medicare reassignment NPD

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

{
    "created_epoch": "1652832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652832000000",
    "number": "1053058255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 N CAPITOL AVE STE 100",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462021225",
            "telephone_number": "317-644-1404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 N CAPITOL AVE STE 100",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462021225",
            "telephone_number": "317-644-1404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA VASCULAR SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-18",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A",
        "authorized_official_last_name": "MOHINDRA",
        "authorized_official_first_name": "SANJAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-644-1404"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Indiana University School of Medicine, Department of Pathology and Lab
• Indiana University-Methodist Hospital (Clarian Health Medical Group)
• Indiana Univesity
• Indiana Urgent Care Centers, LLC (Indy Urgent Care)
• Indiana Vascular Surgeons, PC
• Indiana Vision Improvement Center
• Indiana Womens Oncology PC
• Indianapolis Bone & Joint Clinic Inc.
• Indianapolis Breast Center, PC
• Indianapolis Center for Implant and Cosmetic Dentistry PC (Indianapolis Dentistry)

• Ambulatory Surgical Clinic/Center in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Ambulatory Surgical Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.