Active NPI
University Urologists, Inc., PC
- Urology Physician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 01048495A
- Legal business name
- UNIVERSITY UROLOGISTS, INC., PC
- Practice address
- 535 Barnhill Dr Ste 420
Indianapolis, IN 46202-5116 - Phone
- (317) 278-1979
- Fax
- (317) 278-1981
- NPI assigned
- May 15, 2006
- 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. Michael O Koch, MD
- Title
- President
- Phone
- (317) 944-7338
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 01048495A | IN | Primary |
| Pediatric Urology Physician | 2088P0231X | 01048495A | IN | |
| Pediatric Nurse Practitioner | 363LP0200X | 71001248A | IN |
Addresses
Primary practice location
535 Barnhill Dr Ste 420
Indianapolis, IN 46202-5116
Mailing address
250 N Shadeland Ave
Indianapolis, IN 46219-4959
Phone (888) 484-3258
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100057570 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040728000391 | IN | Part B Supplier - Clinic/Group Practice | 4284604208 |
Receives reassigned benefits from 61 practitioners Practice locations: Indianapolis, IN; Lafayette, IN; Lowell, IN; Newburgh, IN; Richmond, IN; Terre Haute, IN; Tipton, IN; Carmel, IN… |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- General Practice Physician
- Indianapolis, IN
- NPI 1902032832
Member Of
Locations
7614 Solutions Ctr
Chicago, IL 60677
11725 Illinois St
Carmel, IN 46032
Phone (317) 617-4808
11725 Illinois St
Ste 450
Carmel, IN 46032
Phone (317) 688-5700
13100 E 136th St
Ste 2400
Fishers, IN 46037
Phone (317) 328-6620
535 Barnhill Dr
#4826
Indianapolis, IN 46202
Phone (317) 274-1772
535 Barnhill Dr
#420
Indianapolis, IN 46202
Phone (317) 274-7071
1550 E County Line Rd
Ste 301
Indianapolis, IN 46227
Phone (317) 621-9210
2600 Greenbush St
Fl 1
Lafayette, IN 47904
Phone (317) 944-7446
Practitioners & affiliated clinicians
Practitioners 85
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1705622400000",
"number": "1104877141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 N SHADELAND AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462194959",
"telephone_number": "888-484-3258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "535 BARNHILL DR STE 420",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462025116",
"telephone_number": "317-278-1979",
"fax_number": "317-278-1981"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNIVERSITY UROLOGISTS, INC., PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-15",
"last_updated": "2024-01-19",
"certification_date": "2024-01-19",
"status": "A",
"authorized_official_last_name": "KOCH",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "O",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "317-944-7338",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Urology",
"state": "IN",
"license": "01048495A",
"primary": true
},
{
"code": "2088P0231X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Urology, Pediatric Urology",
"state": "IN",
"license": "01048495A",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Pediatrics",
"state": "IN",
"license": "71001248A",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100057570",
"state": "IN"
}
],
"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 Jan 19, 2024; 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.