Active NPI
Inpatient Services Association LLC
- Internal Medicine Physician
- Floyds Knobs, IN
National Provider Identifier
1083825616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 01033730A
- Legal business name
- INPATIENT SERVICES ASSOCIATION LLC
- Practice address
- 3589 Lafayette Pkwy
Floyds Knobs, IN 47119-9760 - Phone
- (812) 949-6264
- Fax
- (812) 949-5073
- NPI assigned
- May 25, 2007
- Last updated
- Oct 29, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lyle Beard, MD
- Title
- Owner
- Phone
- (812) 949-6264
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 01033730A | IN | Primary |
Addresses
Primary practice location
3589 Lafayette Pkwy
Floyds Knobs, IN 47119-9760
Mailing address
PO Box 950238
Louisville, KY 40295-0238
Phone (812) 949-5077
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100086780 | Medicaid | IN | |
| DD7199 | Other | KY | RAIL ROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, IN
Enrollment records 2
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180051200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1351468800000",
"number": "1083825616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 950238",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402950238",
"telephone_number": "812-949-5077",
"fax_number": "812-949-5073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3589 LAFAYETTE PKWY",
"city": "FLOYDS KNOBS",
"state": "IN",
"postal_code": "471199760",
"telephone_number": "812-949-6264",
"fax_number": "812-949-5073"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INPATIENT SERVICES ASSOCIATION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-25",
"last_updated": "2012-10-29",
"status": "A",
"authorized_official_last_name": "BEARD",
"authorized_official_first_name": "LYLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "812-949-6264",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01033730A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100086780",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "DD7199",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Floyds Knobs, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2012; 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.