Organization Active NPI

Inpatient Services Association LLC

  • Internal Medicine Physician
  • Floyds Knobs, IN
National Provider Identifier
1083825616
Registry record updated Oct 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01033730A Issued in IN
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, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2012

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

Authorized official

Name
Dr. Lyle Beard, MDNPI 1093777427
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100086780MedicaidIN
DD7199OtherKYRAIL ROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050824000802 KY Part B Supplier - Clinic/Group Practice 1850322348 Receives reassigned benefits from 1 practitioner
Practice locations: Louisville, KY
O20050829000792 IN Part B Supplier - Clinic/Group Practice 1850322348 Receives reassigned benefits from 1 practitioner
Practice locations: New Albany, IN

National Provider Directory

National Provider Directory

Practitioners & 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.

Verify at the official NPI Registry.