Active NPI
Juan Nicolas Useche Gomez, M.D.
- Neuroradiology Physician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuroradiology Physician
- License
- 01085242A
- Practice address
- 550 University Blvd RM 641
Indianapolis, IN 46202-5149 - Phone
- (317) 274-9884
- NPI assigned
- Jun 27, 2008
- Last updated
- Feb 18, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Neuroimaging (Radiology) Physician | 2085D0003X | 11014539A | IN | |
| Neuroradiology Physician | 2085N0700X | 01085242A | IN | Primary |
Addresses
Primary practice location
550 University Blvd RM 641
Indianapolis, IN 46202-5149
Mailing address
250 N Shadeland Ave
Indianapolis, IN 46219-4959
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258
2401 W University Ave
Muncie, IN 47303-3428
Phone (765) 747-4274
550 N University Blvd Room
Suite 0663
Indianapolis, IN 46202-5149
550 University Blvd
Indianapolis, IN 46202-5149
Phone (317) 948-7569
720 Eskeanzi Ave
Indianapolis, IN 46202-5166
Phone (317) 880-7360
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11014539A | IN | MD | Diagnostic Neuroimaging (Radiology) Physician |
| 01085242A | IN | MD | Neuroradiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iu Health Medical Group, LLC | Current | Accepting new patients | |
| Indiana University Radiology Associates, Inc. | Diagnostic Neuroimaging | Current | Accepting new patients |
Locations
5924 Reliable Pkwy
Chicago, IL 60686
550 University Blvd
Rm 641
Indianapolis, IN 46202
Phone (317) 948-2444
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
250 N Shadeland Ave
Ste 200
Indianapolis, IN 46219
Phone (317) 962-4836
1701 Senate Blvd
#C6
Indianapolis, IN 46202
Phone (317) 962-9000
Interoperability endpoints
- jusechegomez85163@direct.eskenazihealth.edu
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Diagnostic Radiology Physician
- Indianapolis, IN
- NPI 1336192665
Diagnostic Neuroimaging
-
- General Practice Physician
- Indianapolis, IN
- NPI 1326893777
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Muncie, IN
- NPI 1225195340
-
dba Indiana University Health
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1144266024
-
dba Eskenazi Health
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1568407310
-
dba Eskenazi Health Midtown Narcotics Treatment Program
- Methadone Clinic
- Indianapolis, IN
- NPI 1760922249
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613606400000",
"number": "1306008610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 N SHADELAND AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462194959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 UNIVERSITY BLVD RM 641",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462025149",
"telephone_number": "317-274-9884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "USECHE GOMEZ",
"first_name": "JUAN",
"middle_name": "NICOLAS",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-27",
"last_updated": "2021-02-18",
"certification_date": "2021-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "2085D0003X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Neuroimaging",
"state": "IN",
"license": "11014539A",
"primary": false
},
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "IN",
"license": "01085242A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
- US Medgroup PA (US MedGroup PA PC)
- US Medgroup PA (US MedGroup PA PC)
- USA Home Healthcare Inc
- USA Medical Inc
- USA Vascular Center of Indiana LLC
- Douglas Kenneth Uselding, PH.D. H.S.P.P.
- Eniola James Usiola
- Sohail Ahmed Usman, MD
- Rashad Hasan Usmani, M.D.
- Usrc Northwest Indianapolis, LLC (U.S. Renal Care Northwest Indianapolis Dialysis)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.