Active NPI
Indiana Spine Group, PC
- Orthopaedic Surgery of the Spine Physician
- Greenfield, IN
National Provider Identifier
1275014755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- Legal business name
- INDIANA SPINE GROUP, PC
- Practice address
- 1 Memorial SQ Ste 2000
Greenfield, IN 46140-2835 - Phone
- (317) 228-7000
- Fax
- (317) 228-2321
- NPI assigned
- Aug 23, 2018
- Organization subpart
- Yes
- Parent organization
- INDIANA SPINE GROUP, PC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Hardeep Sikand
- Title
- Ceo
- Phone
- (317) 228-7000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | Primary |
Addresses
Primary practice location
1 Memorial SQ Ste 2000
Greenfield, IN 46140-2835
Mailing address
13225 N Meridian St
Carmel, IN 46032-5480
Phone (317) 228-7000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000214063 | Other | IN | ANTHEM |
| 200359410 | Medicaid | IN | |
| 186950 | Other | IN | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040308001261 | IN | Part B Supplier - Clinic/Group Practice | 4082502349 |
Receives reassigned benefits from 52 practitioners 7 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Bloomington, IN; Anderson, IN; Zionsville, IN; Westfield, IN; West Lafayette, IN; Vincennes, IN; Terre Haute, IN; Shelbyville, IN… |
Other NPIs on the same Medicare enrollment 7
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Orthopaedic Surgery of the Spine Physician
- Avon, IN
- NPI 1144667635
O20040308001261
-
- Orthopaedic Surgery of the Spine Physician
- Danville, IN
- NPI 1295000917
O20040308001261
-
- Pain Medicine (Anesthesiology) Physician
- Greenwood, IN
- NPI 1508220633
O20040308001261
-
- Orthopaedic Surgery of the Spine Physician
- Indianapolis, IN
- NPI 1538346689
O20040308001261
-
- Orthopaedic Surgery of the Spine Physician
- Carmel, IN
- NPI 1609960046
O20040308001261
-
- Orthopaedic Surgery of the Spine Physician
- Kokomo, IN
- NPI 1861679094
O20040308001261
National Provider Directory
National Provider Directory- Part of
- Indiana Spine Group PC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1534982400000",
"number": "1275014755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13225 N MERIDIAN ST",
"city": "CARMEL",
"state": "IN",
"postal_code": "460325480",
"telephone_number": "317-228-7000",
"fax_number": "317-228-2321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEMORIAL SQ STE 2000",
"city": "GREENFIELD",
"state": "IN",
"postal_code": "461402835",
"telephone_number": "317-228-7000",
"fax_number": "317-228-2321"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INDIANA SPINE GROUP, PC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "INDIANA SPINE GROUP, PC",
"enumeration_date": "2018-08-23",
"last_updated": "2018-08-23",
"status": "A",
"authorized_official_last_name": "SIKAND",
"authorized_official_first_name": "HARDEEP",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "317-228-7000"
},
"taxonomies": [
{
"code": "207XS0117X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000214063",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200359410",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "186950",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenfield, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.