Individual provider Active NPI

Inna Aroutiounova, M.D.

  • Rheumatology Physician
  • Indianapolis, IN
National Provider Identifier
1174523351
Registry record updated Apr 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
01056223A Issued in IN
Practice address
3660 Guion Rd
Ste 224
Indianapolis, IN 46222-1697
Phone
(317) 920-3000
Fax
(317) 613-3065
NPI assigned
Jul 28, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 01056223A IN Primary

Addresses

Primary practice location

3660 Guion Rd
Ste 224
Indianapolis, IN 46222-1697

Mailing address

6626 E 75TH St
Ste 500
Indianapolis, IN 46250-2805

Other identifiers 3

IdentifierTypeStateIssuer
P01424282OtherINRAIL ROAD
000000748888OtherINANTHEM BCBS
200452920MedicaidIN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040113000123 IN Practitioner - Rheumatology 0840190005 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01056223AINMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Physicians of Indiana Inc CurrentSince Nov 4, 2014 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Nov 4, 2014 Accepting new patients
Major Hospital Past Accepting new patients
Board of Trustess of Howard Community Hospital Rheumatology PastSince Jan 1, 1990 Accepting new patients

Locations

5819 Reliable Pkwy
Chicago, IL 60686

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

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

3660 Guion Rd
Ste 320
Indianapolis, IN 46222
Phone (317) 613-3064

3660 Guion Rd
Ste 224
Indianapolis, IN 46222
Phone (317) 920-3000

117 W Sycamore St
Kokomo, IN 46901
Phone (765) 453-8550

3505 S Reed Rd
Kokomo, IN 46902
Phone (765) 453-8666

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428969600000",
    "number": "1174523351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6626 E 75TH ST",
            "address_2": "STE 500",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3660 GUION RD",
            "address_2": "STE 224",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462221697",
            "telephone_number": "317-920-3000",
            "fax_number": "317-613-3065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AROUTIOUNOVA",
        "first_name": "INNA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-28",
        "last_updated": "2015-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "IN",
            "license": "01056223A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD",
            "identifier": "P01424282",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000748888",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200452920",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.