Aldad Medical PC
Organization Active NPI Psychiatry Physician · Indianapolis, IN
NPI 1215688643 · NPPES record last updated Mar 28, 2023
Key facts
- NPI
- 1215688643
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatry Physician 2084P0800X
- Legal business name
- ALDAD MEDICAL PC
- Practice address
- 8888 Keystone Xing Ste 1300
Indianapolis, IN 46240-4600 - Phone
- (516) 505-7200
- NPI assigned
- Jan 18, 2022
- Organization subpart
- No
Authorized official
- Name
- Tamir Aldad
- Title
- Ceo
- Phone
- (516) 505-7200
Other NPIs with the same Medicare PAC ID 4
Practitioners 7
-
Tamir Aldad, M.D.
-
Molly Christensen, APRN, PMHNP-BC
-
Francisco Davila, LCSW
-
Alisha Martin, PMHNP-BC
-
Sara Missaoui, PHYSICIAN ASSISTANT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220207000114 | IN | Part B Supplier - Clinic/Group Practice | 5395152201 |
Receives reassigned benefits from 1 practitioner Practice locations: Indianapolis, IN |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician |
2084P0800X | Yes |
Addresses
Primary practice location
8888 Keystone Xing Ste 1300
Indianapolis, IN 46240-4600
Mailing address
510 Hempstead Tpke RM 203
West Hempstead, NY 11552-1152
Phone (516) 505-7200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01087040A | Other | IN | LICENSE |
Other providers in Indianapolis, IN
- Megan E Albright
- Hashem Nasser Albunni
- Katherine Alcantar
- Rana Alcheikh
- Lauren Michelle Alcorn
- Fadia T Aldahan
- Melissa S. Aldana Hermann
- Andrew W Alden
- Alexandra Alderdice
- Anne Alderfer
All providers in Indianapolis, IN · Psychiatry Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 28, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.