Active NPI
Joshua Balogun
- Registered Nurse
- Indianapolis, IN
National Provider Identifier
1306521828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 28281830A
- Practice address
- 6563 McCreery CT
Indianapolis, IN 46221-4267 - Phone
- (317) 909-6813
- NPI assigned
- Jun 21, 2023
- Last updated
- Jun 21, 2023
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 28281830A | IN | Primary |
Addresses
Primary practice location
6563 McCreery CT
Indianapolis, IN 46221-4267
Mailing address
6563 McCreery CT
Indianapolis, IN 46221-4267
Phone (317) 909-6813
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28281830A | IN | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indy Home Health LLC | Current | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Home Health Agency
- Camby, IN
- NPI 1366252389
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687305600000",
"number": "1306521828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6563 MCCREERY CT",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462214267",
"telephone_number": "317-909-6813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6563 MCCREERY CT",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462214267",
"telephone_number": "317-909-6813"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALOGUN",
"first_name": "JOSHUA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-06-21",
"last_updated": "2023-06-21",
"certification_date": "2023-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IN",
"license": "28281830A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.