Active NPI
Danniel Gene Vlahovich, D.O.
- Internal Medicine Physician
- Indianapolis, IN
National Provider Identifier
1225071285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 02000354
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000793134 | Other | IN | BCBS |
| 100360810 | Medicaid | IN |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 02000354 | IN | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Emergency Medicine Physician
- Indianapolis, IN
- NPI 1881942282
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1366589467
Internal Medicine
-
- Internal Medicine Physician
- Indianapolis, IN
- NPI 1619092186
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.