Active NPI
Indiana Heart Hospital LLC
- Internal Medicine Physician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- INDIANA HEART HOSPITAL LLC
- Practice address
- 8075 N Shadeland Ave
Suite 200
Indianapolis, IN 46250-2693 - Phone
- (317) 621-9312
- NPI assigned
- May 14, 2007
- 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
- Holly Millard
- Title
- Cfo
- Phone
- (317) 621-9312
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary | ||
| Cardiovascular Disease Physician | 207RC0000X | |||
| Infectious Disease Physician | 207RI0200X | |||
| Pulmonary Disease Physician | 207RP1001X | |||
| Pediatric Orthopaedic Surgery Physician | 207XP3100X | |||
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | |||
| Vascular Surgery Physician | 2086S0129X | |||
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X |
Addresses
Primary practice location
8075 N Shadeland Ave
Suite 200
Indianapolis, IN 46250-2693
Mailing address
6626 E. 75TH Street
Suite 500
Indianapolis, IN 46250-2894
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200861380 | Medicaid | IN | |
| 201033120 | Medicaid | IN | |
| 000000525347 | Other | IN | ANTHEM |
Other names 1
- Community Physicians
National Provider Directory
National Provider DirectoryLocations
1210 Medical Arts Blvd
Ste 106
Anderson, IN 46011
Phone (765) 298-4422
1201A Medical Arts Blvd
Ste 105
Anderson, IN 46011
Phone (765) 298-4660
8075 N Shadeland Ave
#140
Indianapolis, IN 46250
Phone (317) 621-8565
8075 N Shadeland Ave
Ste 140
Indianapolis, IN 46250
Phone (317) 621-8565
7250 Clearvista Dr
Ste 120
Indianapolis, IN 46256
Phone (317) 621-2740
1426 Broad Ripple Ave
Indianapolis, IN 46220
3611 S Reed Rd
Ste 108
Kokomo, IN 46902
Phone (765) 776-3700
14540 Prairie Lakes Blvd N
Ste 105
Noblesville, IN 46060
Phone (317) 621-0370
493 Westfield Rd
Noblesville, IN 46060
Phone (317) 353-9338
9669 E 146th St
Noblesville, IN 46060
Phone (317) 621-3434
Practitioners & affiliated clinicians
Practitioners 9
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurological Surgery Physician
- Indianapolis, IN
- NPI 1215911375
-
- Medical Physician Assistant
- Anderson, IN
- NPI 1700800372
-
- Family Medicine Physician
- Anderson, IN
- NPI 1326128547
-
- Family Nurse Practitioner
- Indianapolis, IN
- NPI 1578024741
-
- Family Nurse Practitioner
- Westfield, IN
- NPI 1629800644
-
- Cardiovascular Disease Physician
- Anderson, IN
- NPI 1649218702
-
- Cardiovascular Disease Physician
- Indianapolis, IN
- NPI 1114926383
-
- Family Nurse Practitioner
- Noblesville, IN
- NPI 1285234096
-
- Physician Assistant
- Anderson, IN
- NPI 1861823791
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1404950400000",
"number": "1104032671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6626 E. 75TH STREET",
"address_2": "SUITE 500",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462502894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8075 N SHADELAND AVE",
"address_2": "SUITE 200",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462502693",
"telephone_number": "317-621-9312"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INDIANA HEART HOSPITAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-14",
"last_updated": "2014-07-10",
"status": "A",
"authorized_official_last_name": "MILLARD",
"authorized_official_first_name": "HOLLY",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "317-621-9312"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Infectious Disease",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": null,
"license": null,
"primary": false
},
{
"code": "207XP3100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Vascular Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200861380",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201033120",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000525347",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Community Physicians",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jul 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.