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Organization Active NPI

Rehabilitation Associates of in PC

Doing business as Rehabilitation Associates of Indiana

  • Physical Medicine & Rehabilitation Physician
  • Indianapolis, IN
National Provider Identifier
1316929128
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
REHABILITATION ASSOCIATES OF IN PC
Doing business as
Rehabilitation Associates of Indiana
Practice address
6330 E 75TH Street
Suite 110
Indianapolis, IN 46250-2717
Phone
(317) 588-7130
Fax
(317) 588-7150
NPI assigned
Nov 17, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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

Authorized official

Name
Denise Kaye Fischer
Title
Administrator
Phone
(317) 813-1355

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X IN
Rheumatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RR0500X 01029878 IN
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X IN Primary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X 10001271A IN

Addresses

Primary practice location

6330 E 75TH Street
Suite 110
Indianapolis, IN 46250-2717

Mailing address

6330 E 75TH Street
Suite 110
Indianapolis, IN 46250-2717
Phone (317) 588-7130

Other identifiers 2

IdentifierTypeStateIssuer
100119030AMedicaidIN
300081343MedicaidIN

Other names 1

  • Rehabilitation Associates of Indiana Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040217000631 IN Part B Supplier - Clinic/Group Practice 1557256740 Receives reassigned benefits from 9 practitioners
Practice locations: Indianapolis, IN; Martinsville, IN; Paoli, IN; Bloomington, IN; Carmel, IN; Fishers, IN; Greenwood, IN; Indianapoils, IN

National Provider Directory

National Provider Directory

Locations

2675 Fox Pointe Dr
Ste C
Columbus, IN 47203
Phone (812) 375-0000

7950 N Shadeland Ave
Ste 100
Indianapolis, IN 46250
Phone (317) 588-7130

7343 Clearvista Dr
Indianapolis, IN 46256
Phone (317) 585-5400

6330 E 75th St
Ste 110
Indianapolis, IN 46250
Phone (317) 588-7130

Practitioners & affiliated clinicians

Practitioners 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696982400000",
    "number": "1316929128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6330 E 75TH STREET",
            "address_2": "SUITE 110",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502717",
            "telephone_number": "317-588-7130",
            "fax_number": "317-588-7150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6330 E 75TH STREET",
            "address_2": "SUITE 110",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502717",
            "telephone_number": "317-588-7130",
            "fax_number": "317-588-7150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABILITATION ASSOCIATES OF IN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-17",
        "last_updated": "2023-10-11",
        "certification_date": "2020-10-06",
        "status": "A",
        "authorized_official_last_name": "FISCHER",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "KAYE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "317-813-1355"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": null,
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "IN",
            "license": "01029878",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IN",
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10001271A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100119030A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300081343",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rehabilitation Associates of Indiana",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.