Individual provider Active NPI

Finote Asfaw, NP

  • Adult Health Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1265849285
Registry record updated Sep 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
71004967A Issued in IN
Practice address
5330 W Washington St
Indianapolis, IN 46241-2147
Phone
(317) 529-2235
Fax
(862) 298-0777
NPI assigned
Jul 22, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 71004967A IN
Adult Health Nurse Practitioner 363LA2200X 71004967A IN Primary

Addresses

Primary practice location

5330 W Washington St
Indianapolis, IN 46241-2147

Mailing address

2827 Saddle Barn East Dr
Indianapolis, IN 46214-1547
Phone (317) 529-2235

Other identifiers 1

IdentifierTypeStateIssuer
201243300MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, VA, WV4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20230822003903 MD Practitioner - Nurse Practitioner 1557587292
I20230822004023 DC Practitioner - Nurse Practitioner 1557587292
I20230824001889 VA Practitioner - Nurse Practitioner 1557587292
I20231027000383 WV Practitioner - Nurse Practitioner 1557587292

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10901 Stonelake Blvd
Suite 200
Austin, TX 78759-5749

300 Dave Cowens Dr
Suite 600
Newport, KY 41071-4543

PO Box
Cincinnati, OH 45263

PO Box
Suite 632266
Cincinnati, OH 45263-2266

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
71004967AINMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Major Hospital Past Accepting new patients

Organizations & group practices 1

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": "1405987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1265849285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2827 SADDLE BARN EAST DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462141547",
            "telephone_number": "317-529-2235",
            "fax_number": "862-298-0777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5330 W WASHINGTON ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462412147",
            "telephone_number": "317-529-2235",
            "fax_number": "862-298-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASFAW",
        "first_name": "FINOTE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-22",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "IN",
            "license": "71004967A",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IN",
            "license": "71004967A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201243300",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.