NPIMap

Organization Active NPI

Innovative Infusions, LLC

  • Infusion Therapy Clinic/Center
  • Huntsville, AL
National Provider Identifier
1194432013
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X
Legal business name
INNOVATIVE INFUSIONS, LLC
Practice address
900 Bob Wallace Ave SW Ste 122
Huntsville, AL 35801-5647
Phone
(256) 666-9520
Fax
(256) 666-9591
NPI assigned
Oct 31, 2022
Organization subpart
Yes
Parent organization
INNOVATIVE INFUSIONS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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

Authorized official

Name
Nicholas Daniel Maroulis
Title
Vice President
Phone
(689) 263-5021

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Clinic/Center 261QI0500X Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

900 Bob Wallace Ave SW Ste 122
Huntsville, AL 35801-5647

Mailing address

3033 W President George Bush Hwy Ste 100
Plano, TX 75075-5752
Phone (972) 588-1000

Other names 1

  • Paragon Infusion Centers Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address LicensingTeam@paragonhealthcare.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221012000325 AL Part B Supplier - Clinic/Group Practice 6608054044 Receives reassigned benefits from 7 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Montgomery, AL; Huntsville, AL; Vestavia, AL

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Innovative Infusions LLC21 organizations share this tax ID, including this one
Part of
Innovative Infusions LLC

Other organizations with this tax ID 20

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

View all 20

Locations

900 Bob Wallace Ave SW
Ste 122
Huntsville, AL 35801
Phone (256) 666-9520

8655 E Montview Blvd
Ste 120
Denver, CO 80238
Phone (720) 794-8237

2824 University Pkwy
Sarasota, FL 34243
Phone (941) 477-2836

4745 Ashford Dunwoody Rd
Ste D
Atlanta, GA 30338
Phone (678) 254-0945

410 N Parrish Pl
Ste 3000
Hendersonville, TN 37075
Phone (615) 590-9503

11317 N Central Expy
Ste 100
Dallas, TX 75243
Phone (972) 408-2777

6000 Northern Pass Dr
Bldg D
El Paso, TX 79911
Phone (915) 289-8988

4709 W Parker Rd
Ste 500
Plano, TX 75093
Phone (469) 974-0565

1650 Round Rock Ave
Ste 200
Round Rock, TX 78681
Phone (737) 443-5230

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780617600000",
    "number": "1194432013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3033 W PRESIDENT GEORGE BUSH HWY STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750755752",
            "telephone_number": "972-588-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 BOB WALLACE AVE SW STE 122",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015647",
            "telephone_number": "256-666-9520",
            "fax_number": "256-666-9591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE INFUSIONS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INNOVATIVE INFUSIONS, LLC",
        "enumeration_date": "2022-10-31",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A",
        "authorized_official_last_name": "MAROULIS",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "689-263-5021"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "LicensingTeam@paragonhealthcare.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "900 Bob Wallace Ave SW Ste 122",
            "city": "Huntsville",
            "state": "AL",
            "country_code": "US",
            "postal_code": "358015647",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Paragon Infusion Centers",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Paragon Infusion Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; 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.

Verify at the official NPI Registry.