Organization Active NPI

Infectious Disease of Indiana, PSC

  • Infectious Disease Physician
  • Carmel, IN
National Provider Identifier
1306884234
Registry record updated Jun 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
Legal business name
INFECTIOUS DISEASE OF INDIANA, PSC
Practice address
11455 North Meridian Street
Suite 200
Carmel, IN 46032-1680
Phone
(317) 582-8180
Fax
(317) 582-8185
NPI assigned
Jun 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2016

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

Authorized official

Name
Christopher Belcher, MD
Title
President
Phone
(317) 582-8180

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RI0200X Primary
Pediatric Infectious Diseases PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2080P0208X

Addresses

Primary practice location

11455 North Meridian Street
Suite 200
Carmel, IN 46032-1680

Mailing address

11455 North Meridian Street
Suite 200
Carmel, IN 46032-1680
Phone (317) 582-8180

Other identifiers 1

IdentifierTypeStateIssuer
100237740MedicaidIN

Other names 1

  • Infectious Disease of Indianapolis Former legal business name

National Provider Directory

National Provider Directory

Locations

355 Westfield Rd
Ste 110B
Noblesville, IN 46060
Phone (317) 353-9338

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467072000000",
    "number": "1306884234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11455 NORTH MERIDIAN STREET",
            "address_2": "SUITE 200",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460321680",
            "telephone_number": "317-582-8180",
            "fax_number": "317-582-8185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11455 NORTH MERIDIAN STREET",
            "address_2": "SUITE 200",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460321680",
            "telephone_number": "317-582-8180",
            "fax_number": "317-582-8185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFECTIOUS DISEASE OF INDIANA, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2016-06-28",
        "status": "A",
        "authorized_official_last_name": "BELCHER",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-582-8180",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2080P0208X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Infectious Diseases",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100237740",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Infectious Disease of Indianapolis",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Carmel, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.