NPIMap

Organization Active NPI

Indiana Cardiac & Vascular Consultants

Doing business as Central Indiana Pulmonary Consultants

  • Specialist
  • Indianapolis, IN
National Provider Identifier
1326069162
Registry record updated Nov 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
01052617A Issued in IN
Legal business name
INDIANA CARDIAC & VASCULAR CONSULTANTS
Doing business as
Central Indiana Pulmonary Consultants
Practice address
1350 E County Line Rd
Suite J
Indianapolis, IN 46227-0873
Phone
(317) 887-7588
Fax
(317) 887-7585
NPI assigned
Jul 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2007

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

Authorized official

Name
Abboud Kawak, M.D.
Title
Managing Physician
Phone
(317) 887-7588

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 01052617A IN Primary

Addresses

Primary practice location

1350 E County Line Rd
Suite J
Indianapolis, IN 46227-0873

Mailing address

1350 E County Line Rd
Suite J
Indianapolis, IN 46227-0873
Phone (317) 887-7588

Other names 1

  • Central Indiana Pulmonary Consultants Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Central Indiana Primary Care5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1350 E County Line Rd
Ste J
Indianapolis, IN 46227
Phone (317) 887-7588

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1326069162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 E COUNTY LINE RD",
            "address_2": "SUITE J",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462270873",
            "telephone_number": "317-887-7588",
            "fax_number": "317-887-7585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 E COUNTY LINE RD",
            "address_2": "SUITE J",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462270873",
            "telephone_number": "317-887-7588",
            "fax_number": "317-887-7585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA CARDIAC & VASCULAR CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "KAWAK",
        "authorized_official_first_name": "ABBOUD",
        "authorized_official_title_or_position": "MANAGING PHYSICIAN",
        "authorized_official_telephone_number": "317-887-7588",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IN",
            "license": "01052617A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Indiana Pulmonary Consultants",
            "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 Nov 15, 2007; 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.