Ameripath Indianapolis PC
Organization Active NPI Anatomic Pathology & Clinical Pathology Physician · Rolla, MO
NPI 1053102004 · NPPES record last updated May 16, 2025
Key facts
- NPI
- 1053102004
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician 207ZP0102X
- Legal business name
- AMERIPATH INDIANAPOLIS PC
- Practice address
- 1000 W 10TH St
Rolla, MO 65401-2905 - Phone
- (573) 458-7050
- Fax
- (573) 458-8399
- NPI assigned
- May 16, 2025
- Organization subpart
- Yes
- Parent organization (as reported)
- AMERIPATH INC
Authorized official
- Name
- Robert Quirey, MD
- Title
- Ao
- Phone
- (800) 920-9000
Other NPIs with the same Medicare PAC ID 4
Corporate family (same tax ID) 6
Practitioners 67
-
Ilya Stone, MD
-
Edward S Liu, MD
-
Alexander Albert Berrebi, M.D.
-
Mark H. Kavesh, MD
-
Joel M Lanceta, MD, PHD
-
Adam Michael Miller, M.D.
-
Anam Naumaan, M.D.
-
Bianca Puello, MD
-
Rina Siddiqui, M.D.
-
Ahmet Surucu, MD
-
Albert Sy, MD
-
Hayma Al-Ghawi, MD
-
Megan Anne Alderman, M.D.
-
Rick Bains, D.O.
-
Elizabeth C Bertsch, M.D.
-
Yumei Chen, MD, PHD
-
Komal Preet Dhiran, M.D.
-
Anjali Shailesh Godambe, D.O.
-
Brian D Hornback, MD
-
Daniel F Klink, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250715000914 | MO | Part B Supplier - Clinic/Group Practice | 2961475058 |
Receives reassigned benefits from 2 practitioners Practice locations: Rolla, MO |
National Provider Directory
- Tax ID family
- Ameripath Indianapolis PC
Locations
1515 N Madison Ave
Fl 5
Anderson, IN 46011
Phone (800) 890-6220
10767 Illinois St
Ste 2700
Carmel, IN 46032
Phone (317) 528-1626
2560 N Shadeland Ave
Ste A
Indianapolis, IN 46219
Phone (317) 275-8000
7250 Clearvista Dr
Ste 190A
Indianapolis, IN 46256
Phone (317) 275-8111
9700 E 146th St
Ste 100
Noblesville, IN 46060
Phone (317) 621-3500
6700 Steger Dr
Rm 121
Cincinnati, OH 45237
Phone (513) 353-6531
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician |
207ZP0102X | Yes |
Addresses
Primary practice location
1000 W 10TH St
Rolla, MO 65401-2905
Mailing address
14275 Midway Rd Ste 400
Addison, TX 75001-3661
Other providers in Rolla, MO
- Allergy & Asthma Consultants of the Ozarks LTD
- Allergy and Asthma Consultants of the Ozarks, LTD
- Alpha Assisted Living LLC
- Paige Loring Alvarado
- Danielle Diane Alvarez
- Ameripath Indianapolis PC
- William S Anast
- Sharon R Anderson
- Angkor Audiology LLC
- Henry Joseph Antolak II
All providers in Rolla, MO · Anatomic Pathology & Clinical Pathology Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 16, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.