NPIMap

Organization Active NPI

Hendricks County Hospital

Doing business as Internal Medicine of Hendricks County

  • Internal Medicine Physician
  • Danville, IN
National Provider Identifier
1174620488
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
HENDRICKS COUNTY HOSPITAL
Doing business as
Internal Medicine of Hendricks County
Practice address
100 Hospital LN
Suite 115
Danville, IN 46122-1989
Phone
(317) 718-4066
Fax
(317) 718-4076
NPI assigned
Sep 20, 2006
Last updated
May 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2024

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

Authorized official

Name
Heather Rutherford
Title
Credentialing Coordinator
Phone
(317) 837-5566

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

100 Hospital LN
Suite 115
Danville, IN 46122-1989

Mailing address

1100 Southfield Dr
Suite 1370
Plainfield, IN 46168-4498
Phone (317) 837-5571

Other names 1

  • Internal Medicine of Hendricks County Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040811000309 IN Part B Supplier - Clinic/Group Practice 4880505528 Receives reassigned benefits from 431 practitioners
This NPI is an additional NPI on the enrollment
Practice locations: Brownsburg, IN; Danville, IN; Greencastle, IN; Lizton, IN; Plainfield, IN; Avon, IN; Bainbridge, IN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D0956569Internal Medicine of Hendricks County100 Hospital Lane, Ste 115, Danville, IN 46122Certificate of waiverJan 30, 2027

National Provider Directory

National Provider Directory
Tax ID family
Indiana Adult Pediatr110 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

1100 Southfield Dr
Ste 1370
Plainfield, IN 46168
Phone (317) 837-5570

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.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716854400000",
    "number": "1174620488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 SOUTHFIELD DR",
            "address_2": "SUITE 1370",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "461684498",
            "telephone_number": "317-837-5571",
            "fax_number": "317-837-5580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL LN",
            "address_2": "SUITE 115",
            "city": "DANVILLE",
            "state": "IN",
            "postal_code": "461221989",
            "telephone_number": "317-718-4066",
            "fax_number": "317-718-4076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENDRICKS COUNTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A",
        "authorized_official_last_name": "RUTHERFORD",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "317-837-5566"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Internal Medicine of Hendricks County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Danville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.