Active NPI
Seals Ambulance Service, Inc.
- Land Ambulance
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 0182
- Legal business name
- SEALS AMBULANCE SERVICE, INC.
- Practice address
- 2400 Roosevelt Ave
Indianapolis, IN 46218-4214 - Phone
- (844) 597-4911
- Fax
- (866) 687-2796
- NPI assigned
- Jun 15, 2005
- 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
- Robert A Jewell
- Title
- Chief Revenue Integration Officer
- Phone
- (844) 597-4911
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 0182 | IN | Primary |
| Non-emergency Medical Transport (VAN) | 343900000X | 28771 | IN |
Addresses
Primary practice location
2400 Roosevelt Ave
Indianapolis, IN 46218-4214
Mailing address
PO Box 660884
Dallas, TX 75266-0884
Phone (844) 597-4911
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000182435 | Other | IN | BCBS-ANTHEM INSURANCE |
| 200030170A | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110610000030 | IN | Part B Supplier - Ambulance Service Supplier | 9335326842 | Practice locations: Indianapolis, IN |
National Provider Directory
National Provider DirectoryLocations
125 E 13th St
Anderson, IN 46016
Phone (317) 541-1200
2402 P St
Bedford, IN 47421
Phone (317) 541-1200
700 W Broadway St
Fortville, IN 46040
Phone (317) 541-1200
1134 Eastview Dr
Franklin, IN 46131
Phone (317) 541-1200
2400 Roosevelt Ave
Indianapolis, IN 46218
Phone (317) 541-1200
1718 Pleasant St
Noblesville, IN 46060
Phone (317) 541-1200
Practitioners & affiliated clinicians
Practitioners 6
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.
-
- Nurse Practitioner
- Loudon, TN
- NPI 1912429036
-
- Nurse Practitioner
- Knoxville, TN
- NPI 1538101209
-
- Family Nurse Practitioner
- Lake Charles, LA
- NPI 1477113892
-
- Family Nurse Practitioner
- Powell, TN
- NPI 1528477858
-
- Family Nurse Practitioner
- Clinton, TN
- NPI 1215336722
-
- General Practice Physician
- Knoxville, TN
- NPI 1952342586
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118793600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1691539200000",
"number": "1174528335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 660884",
"city": "DALLAS",
"state": "TX",
"postal_code": "752660884",
"telephone_number": "844-597-4911",
"fax_number": "866-687-2796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 ROOSEVELT AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462184214",
"telephone_number": "844-597-4911",
"fax_number": "866-687-2796"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SEALS AMBULANCE SERVICE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-15",
"last_updated": "2023-08-09",
"certification_date": "2023-08-09",
"status": "A",
"authorized_official_last_name": "JEWELL",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CHIEF REVENUE INTEGRATION OFFICER",
"authorized_official_telephone_number": "844-597-4911"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "IN",
"license": "0182",
"primary": true
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "IN",
"license": "28771",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS-ANTHEM INSURANCE",
"identifier": "000000182435",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200030170A",
"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 Aug 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.