Active NPI
Cardiothoracic Surgeons of Indiana LLC
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Indianapolis, IN
National Provider Identifier
1154589554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Legal business name
- CARDIOTHORACIC SURGEONS OF INDIANA LLC
- Practice address
- 8075 N Shadeland Ave
Suite 310
Indianapolis, IN 46250-2693 - Phone
- (317) 621-8640
- Fax
- (317) 621-8644
- NPI assigned
- Jun 2, 2008
- 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
- Thomas A Malasto
- Title
- Ceo
- Phone
- (317) 621-8050
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | Primary |
Addresses
Primary practice location
8075 N Shadeland Ave
Suite 310
Indianapolis, IN 46250-2693
Mailing address
8075 N Shadeland Ave
Suite 310
Indianapolis, IN 46250-2693
Phone (317) 621-8640
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200910050 | Medicaid | IN | |
| 000000569471 | Other | IN | ANTHEM |
| 9615187 | Other | IN | AETNA |
National Provider Directory
National Provider DirectoryLocations
8075 N Shadeland Ave
Ste 310
Indianapolis, IN 46250
Phone (317) 621-8000
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Indianapolis, IN
- NPI 1114926383
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212364800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1224460800000",
"number": "1154589554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8075 N SHADELAND AVE",
"address_2": "SUITE 310",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462502693",
"telephone_number": "317-621-8640",
"fax_number": "317-621-8644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8075 N SHADELAND AVE",
"address_2": "SUITE 310",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462502693",
"telephone_number": "317-621-8640",
"fax_number": "317-621-8644"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARDIOTHORACIC SURGEONS OF INDIANA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-02",
"last_updated": "2008-10-20",
"status": "A",
"authorized_official_last_name": "MALASTO",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "317-621-8050"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200910050",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000569471",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "9615187",
"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 Oct 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.