Individual provider Active NPI

Azarias Shamus Lonberger, M.D.

  • Internal Medicine Physician
  • Indianapolis, IN
National Provider Identifier
1326099755
Registry record updated Mar 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01059165A Issued in IN
Practice address
1481 W 10TH St
Medicine 111
Indianapolis, IN 46202-2803
Phone
(317) 554-0181
Fax
(317) 554-0105
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01059165A IN Primary

Addresses

Primary practice location

1481 W 10TH St
Medicine 111
Indianapolis, IN 46202-2803

Mailing address

5901 Penway St
Indianapolis, IN 46224-1236
Phone (317) 328-5230

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
I20101123000902 IN Practitioner - Internal Medicine 5395931810 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01059165AINMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eskenazi Medical Group Inc Internal Medicine CurrentSince Oct 1, 2010 Accepting new patients
Major Hospital Past Accepting new patients

Locations

2700 Martin Luther King Jr St
Indianapolis, IN 46208
Phone (317) 931-4300

720 Eskenazi Ave
Indianapolis, IN 46202
Phone (317) 880-0000

2732 W Michigan St
Indianapolis, IN 46222
Phone (317) 554-4600

720 Eskenazi Ave
Bldg 5TH
Indianapolis, IN 46202
Phone (317) 880-3818

720 Eskenazi Ave
Fl 2
Indianapolis, IN 46202
Phone (317) 278-5316

720 Eskenazi Ave
Fl 5
Indianapolis, IN 46202
Phone (317) 880-6000

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331683200000",
    "number": "1326099755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 PENWAY ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462241236",
            "telephone_number": "317-328-5230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1481 W 10TH ST",
            "address_2": "MEDICINE 111",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462022803",
            "telephone_number": "317-554-0181",
            "fax_number": "317-554-0105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONBERGER",
        "first_name": "AZARIAS",
        "middle_name": "SHAMUS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2012-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01059165A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.