Active NPI
Halkawt Ali Nuri, M.D.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Indianapolis, IN
National Provider Identifier
1225464324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 11017478A
- Practice address
- 545 Barnhill Dr
Suite 215
Indianapolis, IN 46202-5112 - Phone
- (317) 274-7150
- Fax
- (317) 274-2940
- NPI assigned
- Sep 20, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Surgery Physician | 2086S0120X | 11017478A | IN | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 11017478A | IN | Primary |
Addresses
Primary practice location
545 Barnhill Dr
Suite 215
Indianapolis, IN 46202-5112
Mailing address
545 Barnhill Dr
Suite 215
Indianapolis, IN 46202-5112
Phone (317) 274-7150
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11017478A | IN | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cardiothoracic Surgeons Pediatrics LLC | Pediatric Surgery | Past | Accepting new patients |
| Cardiothoracic Surgeons Inc. | Pediatric Surgery | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Indianapolis, IN
- NPI 1770796096
Pediatric Surgery
-
- Pediatric Surgery Physician
- Indianapolis, IN
- NPI 1154537850
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379635200000",
"number": "1225464324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "545 BARNHILL DR",
"address_2": "SUITE 215",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462025112",
"telephone_number": "317-274-7150",
"fax_number": "317-274-2940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "545 BARNHILL DR",
"address_2": "SUITE 215",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462025112",
"telephone_number": "317-274-7150",
"fax_number": "317-274-2940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NURI",
"first_name": "HALKAWT",
"middle_name": "ALI",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-09-20",
"last_updated": "2013-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0120X",
"taxonomy_group": "",
"desc": "Surgery, Pediatric Surgery",
"state": "IN",
"license": "11017478A",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "IN",
"license": "11017478A",
"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 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.