Active NPI
Celso G Anuada
- Contractor
- Indianapolis, IN
National Provider Identifier
1215201140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 40QA01342200
- Practice address
- 5980 W 71St St Ste 1021
Indianapolis, IN 46278-2711 - Phone
- (317) 388-0800
- Fax
- (317) 388-0805
- NPI assigned
- Feb 23, 2012
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA01342200 | NJ | MD | Contractor |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 40QA01342200 | NJ | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
5980 W 71St St Ste 1021
Indianapolis, IN 46278-2711
Mailing address
5980 W 71St St Ste 1021
Indianapolis, IN 46278-2711
Phone (317) 388-0800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 12, 2013.
{
"created_epoch": "1329955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378944000000",
"number": "1215201140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5980 W 71ST ST STE 1021",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462782711",
"telephone_number": "317-388-0800",
"fax_number": "317-388-0805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5980 W 71ST ST STE 1021",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462782711",
"telephone_number": "317-388-0800",
"fax_number": "317-388-0805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANUADA",
"first_name": "CELSO",
"middle_name": "G",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-02-23",
"last_updated": "2013-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "NJ",
"license": "40QA01342200",
"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 Sep 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.