Individual provider Active NPI

Danniel Gene Vlahovich, D.O.

  • Internal Medicine Physician
  • Indianapolis, IN
National Provider Identifier
1225071285
Registry record updated Mar 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
02000354 Issued in IN
Practice address
5471 Georgetown Rd
Suite a
Indianapolis, IN 46254-5793
Phone
(317) 328-6333
Fax
(317) 328-6330
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 02000354 IN Primary

Addresses

Primary practice location

5471 Georgetown Rd
Suite a
Indianapolis, IN 46254-5793

Mailing address

PO Box 637999
Cincinnati, OH 45263-7999
Phone (317) 682-2030

Other identifiers 2

IdentifierTypeStateIssuer
000000793134OtherINBCBS
100360810MedicaidIN

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
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
02000354INMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Westview Internal Medicine Internal Medicine Past Accepting new patients
Indianapolis Osteopathic Hospital Inc. Internal Medicine Past Accepting new patients
Guion Road Inpatient Services LLC Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363737600000",
    "number": "1225071285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 637999",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452637999",
            "telephone_number": "317-682-2030",
            "fax_number": "317-644-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5471 GEORGETOWN RD",
            "address_2": "SUITE A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462545793",
            "telephone_number": "317-328-6333",
            "fax_number": "317-328-6330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VLAHOVICH",
        "first_name": "DANNIEL",
        "middle_name": "GENE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2013-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "02000354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000793134",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100360810",
            "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 Mar 20, 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.

Verify at the official NPI Registry.