NPIMap

Organization Active NPI

American Health Network of Indiana LLC

Doing business as MPI Health Connections Ellis

  • Primary Care Clinic/Center
  • Indianapolis, IN
National Provider Identifier
1154774412
Registry record updated Jul 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
01065108A Issued in IN
Legal business name
AMERICAN HEALTH NETWORK OF INDIANA LLC
Doing business as
MPI Health Connections Ellis
Practice address
2432 Southeastern Ave
Indianapolis, IN 46201-4161
Phone
(317) 636-3351
NPI assigned
Jul 21, 2016
Last updated
Jul 21, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2016

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

Authorized official

Name
Dr. Ben Park
Title
President of Ahn
Phone
(317) 580-6303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 01065108A IN Primary

Addresses

Primary practice location

2432 Southeastern Ave
Indianapolis, IN 46201-4161

Mailing address

10333 N Meridian St Ste 230
Indianapolis, IN 46290-1144
Phone (317) 582-3937

Other names 1

  • MPI Health Connections Ellis Doing business as

National Provider Directory

National Provider Directory
Tax ID family
American Health Network of Indiana33 organizations share this tax ID, including this one

Other organizations with this tax ID 32

Organizations that report the same tax identification number in the National Provider Directory.

View all 32

Locations

10333 N Meridian St
Ste 230
Carmel, IN 46290

2432 Southeastern Ave
Indianapolis, IN 46201
Phone (317) 636-3351

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1469059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469059200000",
    "number": "1154774412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10333 N MERIDIAN ST STE 230",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462901144",
            "telephone_number": "317-582-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2432 SOUTHEASTERN AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462014161",
            "telephone_number": "317-636-3351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN HEALTH NETWORK OF INDIANA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-21",
        "last_updated": "2016-07-21",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "BEN",
        "authorized_official_title_or_position": "PRESIDENT OF AHN",
        "authorized_official_telephone_number": "317-580-6303",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IN",
            "license": "01065108A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MPI Health Connections Ellis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 21, 2016; 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.