Active NPI
Nephrology Associates of Indianapolis, LLC
- Nephrology Physician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 02002905A
- Legal business name
- NEPHROLOGY ASSOCIATES OF INDIANAPOLIS, LLC
- Practice address
- 6350 Rucker Rd
Suite 103
Indianapolis, IN 46220-4893 - Phone
- (317) 682-2038
- Fax
- (317) 920-7482
- NPI assigned
- Sep 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
- Mary Burden, D.O.
- Title
- Owner
- Phone
- (317) 682-2038
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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 02002905A | IN | Primary |
Addresses
Primary practice location
6350 Rucker Rd
Suite 103
Indianapolis, IN 46220-4893
Mailing address
PO Box 7203
Fishers, IN 46038-7303
Phone (317) 682-2038
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200540580 | Medicaid | IN |
National Provider Directory
National Provider DirectoryLocations
3520 Guion Rd
#204
Indianapolis, IN 46222
Phone (317) 407-7950
3520 Guion Rd
Ste 103
Indianapolis, IN 46222
Phone (317) 682-2038
6350 Rucker Rd
Ste 103
Indianapolis, IN 46220
Phone (317) 682-2038
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nephrology Physician
- Indianapolis, IN
- NPI 1598725780
-
- Surgery Physician
- Noblesville, IN
- NPI 1316916562
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1671494400000",
"number": "1104922582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7203",
"city": "FISHERS",
"state": "IN",
"postal_code": "460387303",
"telephone_number": "317-682-2038",
"fax_number": "317-920-7482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6350 RUCKER RD",
"address_2": "SUITE 103",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462204893",
"telephone_number": "317-682-2038",
"fax_number": "317-920-7482"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEPHROLOGY ASSOCIATES OF INDIANAPOLIS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-15",
"last_updated": "2022-12-20",
"certification_date": "2022-12-20",
"status": "A",
"authorized_official_last_name": "BURDEN",
"authorized_official_first_name": "MARY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "317-682-2038",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": "IN",
"license": "02002905A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200540580",
"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 Dec 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.