Medical Associates of Terre Haute, LLC

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

Legal business name

MEDICAL ASSOCIATES OF TERRE HAUTE, LLC

Doing business as

Sullivan Medical Clinic

Practice address

4320 S 7TH St
Terre Haute, IN 47802-4301

Phone

(812) 905-0912

Fax

(812) 905-0913

NPI assigned

Jan 16, 2020

Last updated

Jan 16, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ajay Deshpande, MDNPI 1629058680

Title

Managing Partner

Phone

(812) 605-0543

Specialties & licenses 3

Addresses

Other names 1

• Sullivan Medical Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HBHACD

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ajay D Deshpande, MD

  • Pulmonary Disease Physician
  • Terre Haute, IN
  • NPI 1629058680

  Internal Medicine

  Medicare reassignment Care Compare group NPD Authorized official
• Shreelekha A Deshpande, MD

  • Internal Medicine Physician
  • Terre Haute, IN
  • NPI 1740260710
  Medicare reassignment Care Compare group NPD
• Lindsay P Gamble, FNP-C

  • Nurse Practitioner
  • Terre Haute, IN
  • NPI 1720636475

  Multi-Specialty

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1579132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579132800000",
    "number": "1235769456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4320 S 7TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478024301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 S 7TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478024301",
            "telephone_number": "812-905-0912",
            "fax_number": "812-905-0913"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 S Section St",
            "address_purpose": "LOCATION",
            "city": "Sullivan",
            "state": "IN",
            "postal_code": "478821805",
            "country_code": "US",
            "telephone_number": "812-905-0912",
            "fax_number": "812-905-0913",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MEDICAL ASSOCIATES OF TERRE HAUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-16",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A",
        "authorized_official_last_name": "DESHPANDE",
        "authorized_official_first_name": "AJAY",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "812-605-0543",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sullivan Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie Janette Meade, DO
• Meadows Home Health Care, Inc. (Elara Caring)
• Jessika Elexis Meadows, DO
• Med-a-Care LLC (Medpharm Pharmacy)
• Medexpress Urgent Care, PC - Indiana (MedExpress Urgent Care -Terre Haute)
• Medical Scanning Consultants, P.a. (Rayus Radiology)
• Megan Rose Megali, CCC-SLP
• Amina Mehmedovic, PA-S
• Meijer Stores Limited Partnership (Meijer Pharmacy #285)
• Elise Danielle Melcho, RN

• Pulmonary Disease Physician in Terre Haute, IN
• Providers in Terre Haute, IN by specialty
• Pulmonary Disease Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.