Individual provider Active NPI

Yuri Zelenin, M.D.

  • Anesthesiology Physician
  • Indianapolis, IN
National Provider Identifier
1154378776
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
01047837A Issued in IN
Practice address
8040 Clearvista Pkwy Ste 150
Indianapolis, IN 46256-4673
Phone
(317) 887-7000
NPI assigned
May 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 01047837A IN Primary

Addresses

Primary practice location

8040 Clearvista Pkwy Ste 150
Indianapolis, IN 46256-4673

Mailing address

6626 E 75TH St Ste 500
Indianapolis, IN 46250-2890
Phone (317) 621-7547

Other practice location 1

601 W 2nd St
Bloomington, IN 47403-2317
Phone (812) 353-9469

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100823000861 IN Practitioner - Anesthesiology 8022012152 Reassigns benefits to 4 organizations
I20241007000061 TX Practitioner - Anesthesiology 8022012152 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Physicians of Indiana IncGroup PAC ID 1759416662, 1,569 clinicians

Practice addresses (Care Compare)

8040 Clearvista Pkwy
Suite 150
Indianapolis, IN 46256-4673
Phone (317) 887-7000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Community Physicians of Indiana Inc Family Medicine CurrentSince Nov 4, 2024 Accepting new patients
Bloomington Anesthesiologists PC Anesthesiology CurrentSince Jan 1, 1999 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Nov 4, 2024 Accepting new patients
Johnson Memorial Hospital CurrentSince Sep 1, 2024 Accepting new patients
Alaska Native Tribal Health Consortium CurrentSince Sep 16, 2024 Accepting new patients
Good Samaritan Hospital Physician Services, Inc Anesthesiology CurrentSince Sep 1, 2023 Accepting new patients
Johnson Memorial Hospital CurrentSince Sep 1, 2024 Accepting new patients
Good Samaritan Hospital CurrentSince Sep 1, 2023 Accepting new patients

Locations

4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729

4000 Ambassador Dr
Anchorage, AK 99508
Phone (907) 729-1900

3900 Ambassador Dr
Anchorage, AK 99508
Phone (907) 729-1500

5819 Reliable Pkwy
Chicago, IL 60686

601 W 2nd St
Bloomington, IN 47403
Phone (812) 353-5252

4011 S Monroe Medical Park Blvd
Bloomington, IN 47403
Phone (812) 825-5777

2800 Rex Grossman Blvd
Bloomington, IN 47403
Phone (800) 841-4938

2651 E Discovery Pkwy
Bloomington, IN 47408
Phone (812) 353-9147

1125 W Jefferson St
Franklin, IN 46131
Phone (317) 346-3858

6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547

8040 Clearvista Pkwy
Ste 150
Indianapolis, IN 46256
Phone (317) 621-2000

7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444

1160 E Saint Clair St
Vincennes, IN 47591
Phone (812) 882-1064

520 S 7th St
Vincennes, IN 47591
Phone (812) 885-3280

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1154378776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6626 E 75TH ST STE 500",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502890",
            "telephone_number": "317-621-7547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8040 CLEARVISTA PKWY STE 150",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462564673",
            "telephone_number": "317-887-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 W 2nd St",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IN",
            "postal_code": "474032317",
            "country_code": "US",
            "telephone_number": "812-353-9469",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZELENIN",
        "first_name": "YURI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-28",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "01047837A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.