NPIMap

Organization Active NPI

Community Hospitals of Indiana Inc

  • Rheumatology Physician
  • Noblesville, IN
National Provider Identifier
1154585826
Registry record updated Dec 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
02002532A Issued in IN
Legal business name
COMMUNITY HOSPITALS OF INDIANA INC
Practice address
9669 E 146TH St
Suite 250
Noblesville, IN 46060-5004
Phone
(317) 621-1340
Fax
(317) 621-1341
NPI assigned
Jul 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2009

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

Authorized official

Name
Jeffery Kirkham
Title
Cfo
Phone
(317) 355-5822

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X 02002532A IN Primary

Addresses

Primary practice location

9669 E 146TH St
Suite 250
Noblesville, IN 46060-5004

Mailing address

9669 E 146TH St
Suite 250
Noblesville, IN 46060-5004
Phone (317) 621-1340

Other identifiers 1

IdentifierTypeStateIssuer
200913380AMedicaidIN

Other names 1

  • Community Rheumatology Doing business as

National Provider Directory

National Provider Directory

Locations

13121 Olio Rd
Ste 340
Fishers, IN 46037
Phone (317) 621-1340

Practitioners & affiliated clinicians

Practitioners 1

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": "1215734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262131200000",
    "number": "1154585826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9669 E 146TH ST",
            "address_2": "SUITE 250",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460605004",
            "telephone_number": "317-621-1340",
            "fax_number": "317-621-1341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9669 E 146TH ST",
            "address_2": "SUITE 250",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460605004",
            "telephone_number": "317-621-1340",
            "fax_number": "317-621-1341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HOSPITALS OF INDIANA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-11",
        "last_updated": "2009-12-30",
        "status": "A",
        "authorized_official_last_name": "KIRKHAM",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "317-355-5822"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "IN",
            "license": "02002532A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200913380A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Rheumatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Noblesville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.