Active NPI
Nathan Thomas Chou, DO
- Student in an Organized Health Care Education/Training Program
- Indianapolis, IN
National Provider Identifier
1164282125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 11023665A
- Practice address
- 5230 E Stop 11 Rd Ste 250
Indianapolis, IN 46237-6399 - Phone
- (317) 528-8921
- Fax
- (317) 528-6916
- NPI assigned
- Mar 19, 2024
- Last updated
- Jun 5, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | 11023665A | IN | Primary |
Addresses
Primary practice location
5230 E Stop 11 Rd Ste 250
Indianapolis, IN 46237-6399
Mailing address
PO Box 781008
Detroit, MI 48278-1008
Other practice location 1
5230 E Stop 11 Rd
Indianapolis, IN 46237-6398
Phone (317) 528-8136
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240618000240 | IN | Order and Referring Only - Family Practice | 0941743033 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11023665A | IN | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717545600000",
"number": "1164282125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 781008",
"city": "DETROIT",
"state": "MI",
"postal_code": "482781008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5230 E STOP 11 RD STE 250",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462376399",
"telephone_number": "317-528-8921",
"fax_number": "317-528-6916"
}
],
"practiceLocations": [
{
"address_1": "5230 E Stop 11 Rd",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462376398",
"country_code": "US",
"telephone_number": "317-528-8136",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHOU",
"first_name": "NATHAN",
"middle_name": "THOMAS",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-03-19",
"last_updated": "2024-06-05",
"certification_date": "2024-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "IN",
"license": "11023665A",
"primary": true
}
],
"identifiers": [],
"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 Jun 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.