Individual provider Active NPI

Bennet Joseph Ladowski, MD

  • Family Medicine Physician
  • Indianapolis, IN
National Provider Identifier
1316566706
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01091638A Issued in IN
Practice address
1040 Wishard Blvd
Indianapolis, IN 46202-2872
Phone
(317) 962-8893
NPI assigned
Apr 15, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01091638A IN Primary
Student in an Organized Health Care Education/Training ProgramGroup: 193400000X SINGLE SPECIALTY GROUP 390200000X

Addresses

Primary practice location

1040 Wishard Blvd
Indianapolis, IN 46202-2872

Mailing address

1040 Wishard Blvd
Indianapolis, IN 46202-2872

Other practice location 1

1520 N Senate Ave
Indianapolis, IN 46202-2213
Phone (317) 962-0857

Other practice location 2

9650 E Washington St Ste 100
Indianapolis, IN 46229-3032
Phone (317) 890-5500

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bladowski@direct.iuhealth.org Direct

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
I20230929000662 IN Practitioner - Family Practice 8022439496 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Iu Health Medical Group LLCGroup PAC ID 9638617913, 4,382 clinicians

Practice addresses (Care Compare)

1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258

Hospital & facility affiliations

  • Indiana University Health Hospital, Indianapolis, IN, CCN 150056

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Iu Health Medical Group, LLC Single Specialty CurrentSince Jul 1, 2025 Accepting new patients
Indiana University Health Care Associates, Inc Single Specialty CurrentSince Nov 1, 2023 Accepting new patients
Major Hospital Single Specialty Past Accepting new patients
University Medical Diagnostic Associates, Inc. Single Specialty Past Accepting new patients

Locations

5208 Reliable Pkwy
Chicago, IL 60686

9650 E Washington St
Ste 100
Indianapolis, IN 46229
Phone (317) 890-5500

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

9650 E Washington St
Ste 245
Indianapolis, IN 46229
Phone (317) 890-5552

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

1040 Wishard Blvd
Indianapolis, IN 46202
Phone (317) 278-1090

1520 N Senate Ave
Indianapolis, IN 46202
Phone (317) 962-0857

1701 N Senate Blvd
Bldg C6
Indianapolis, IN 46202
Phone (913) 962-2000

Interoperability endpoints

  • Direct secure messaging: bladowski@direct.iuhealth.org

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1586908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1316566706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 WISHARD BLVD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462022872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 WISHARD BLVD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462022872",
            "telephone_number": "317-962-8893"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1520 N Senate Ave",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462022213",
            "country_code": "US",
            "telephone_number": "317-962-0857",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9650 E Washington St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462293032",
            "country_code": "US",
            "telephone_number": "317-890-5500",
            "fax_number": "317-890-5566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LADOWSKI",
        "first_name": "BENNET",
        "middle_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-15",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01091638A",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bladowski@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "9650 E Washington St Ste 100",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462293032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.