Organization Active NPI

University Medical Diagnostic Associates

  • General Acute Care Hospital
  • Indianapolis, IN
National Provider Identifier
1073940664
Registry record updated Jun 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
11017474A Issued in IN
Legal business name
UNIVERSITY MEDICAL DIAGNOSTIC ASSOCIATES
Practice address
430 Indiana Ave
Apt 138
Indianapolis, IN 46202-3275
Phone
(791) 920-0750
NPI assigned
Sep 27, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2016

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

Authorized official

Name
Dr. Shivi S Siva, MD
Title
Pgy6
Phone
(317) 671-3034

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 11017474A IN Primary
Military Hospital 286500000X 11017474A IN

Addresses

Primary practice location

430 Indiana Ave
Apt 138
Indianapolis, IN 46202-3275

Mailing address

430 Indiana Avenue
Apt 138
Indiana, IN 46202-3275

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1380240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465603200000",
    "number": "1073940664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 INDIANA AVENUE",
            "address_2": "APT 138",
            "city": "INDIANA",
            "state": "IN",
            "postal_code": "462023275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 INDIANA AVE",
            "address_2": "APT 138",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462023275",
            "telephone_number": "791-920-0750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY MEDICAL DIAGNOSTIC ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-27",
        "last_updated": "2016-06-11",
        "status": "A",
        "authorized_official_last_name": "SIVA",
        "authorized_official_first_name": "SHIVI",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PGY6",
        "authorized_official_telephone_number": "317-671-3034",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IN",
            "license": "11017474A",
            "primary": true
        },
        {
            "code": "286500000X",
            "taxonomy_group": "",
            "desc": "Military Hospital",
            "state": "IN",
            "license": "11017474A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.