Active NPI
James S. Touloukian, M.D.
- Gastroenterology Physician
- Bloomington, IN
National Provider Identifier
1295730067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 01027184A
- Practice address
- 550 S Landmark Ave
Bloomington, IN 47403-3239 - Phone
- (812) 333-5973
- Fax
- (812) 330-3681
- NPI assigned
- Jun 16, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 01027184A | IN | Primary |
Addresses
Primary practice location
550 S Landmark Ave
Bloomington, IN 47403-3239
Mailing address
550 S Landmark Ave
Bloomington, IN 47403-3239
Phone (812) 333-5973
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100354710 | Medicaid | IN |
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 |
|---|---|---|---|
| 01027184A | IN | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ima, Inc. | Gastroenterology | Current | Accepting new patients |
| Premier Healthcare LLC | Gastroenterology | Current | Accepting new patients |
Locations
3043 N Lintel Dr
Bloomington, IN 47404
Phone (812) 333-7622
550 S Landmark Ave
Bloomington, IN 47403
Phone (812) 330-3688
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": "1118880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286150400000",
"number": "1295730067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 S LANDMARK AVE",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474033239",
"telephone_number": "812-333-5973",
"fax_number": "812-330-3681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 S LANDMARK AVE",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474033239",
"telephone_number": "812-333-5973",
"fax_number": "812-330-3681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOULOUKIAN",
"first_name": "JAMES",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-16",
"last_updated": "2010-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "IN",
"license": "01027184A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100354710",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bloomington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.