Individual provider Active NPI

Vivian Cruz Nanagas, M.D.

  • Allergy & Immunology Physician
  • Zionsville, IN
National Provider Identifier
1285977033
Registry record updated Jul 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
PENDING Issued in IN
Practice address
4400 Weston Pointe Dr Ste 150
Zionsville, IN 46077
Phone
(317) 732-4046
Fax
(855) 656-7325
NPI assigned
Mar 30, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X PENDING IN Primary

Addresses

Primary practice location

4400 Weston Pointe Dr Ste 150
Zionsville, IN 46077

Mailing address

9800 Shelbyville Rd Ste 220
Louisville, KY 40223-2992
Phone (502) 429-8585

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190814004127 IN Practitioner - Allergy/Immunology 1759660285 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Wright State University Boonshoft School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PSF PLLCGroup PAC ID 1557265543, 98 clinicians

Practice addresses (Care Compare)

4400 Weston Pointe Dr
Suite 150
Zionsville, IN 46077-7205
Phone (317) 732-4046

Merit-based Incentive Payment System (MIPS)

Final score
84.25 of 100Reported as group
Quality
86.03
Promoting interoperability
86
Improvement activities
40
Cost
73.15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
PENDINGINMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
PSF PLLC Allergy & Immunology CurrentSince Aug 2, 2019 Accepting new patients
Major Hospital Past Accepting new patients

Locations

10730 E US Highway 36
Avon, IN 46123
Phone (317) 491-1514

485 S Landmark Ave
Bloomington, IN 47403
Phone (812) 334-1198

1101 N National Rd
Columbus, IN 47201
Phone (812) 314-7046

8937 Southpointe Dr
Ste C2
Indianapolis, IN 46227
Phone (317) 215-4580

3003 Charlestown Xing
New Albany, IN 47150
Phone (812) 945-5653

13436 Tegler Dr
Ste 300
Noblesville, IN 46060
Phone (317) 491-1526

4400 Weston Pointe Dr
Ste 150
Zionsville, IN 46077
Phone (317) 732-4046

9800 Shelbyville Rd
Ste 220
Louisville, KY 40223
Phone (502) 429-8585

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.

NPI Registry JSON

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

{
    "created_epoch": "1364601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562889600000",
    "number": "1285977033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9800 SHELBYVILLE RD STE 220",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402232992",
            "telephone_number": "502-429-8585",
            "fax_number": "502-429-6157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 WESTON POINTE DR STE 150",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "46077",
            "telephone_number": "317-732-4046",
            "fax_number": "855-656-7325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANAGAS",
        "first_name": "VIVIAN",
        "middle_name": "CRUZ",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-30",
        "last_updated": "2019-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "IN",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zionsville, IN

Sources for this page

Verify at the official NPI Registry.