Organization Active NPI

Pinnacle Heart Specialists, LLC

  • Cardiovascular Disease Physician
  • Indianapolis, IN
National Provider Identifier
1356577688
Registry record updated Feb 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
PINNACLE HEART SPECIALISTS, LLC
Practice address
1935 N Capitol Ave
#200
Indianapolis, IN 46202-6403
Phone
(317) 694-8487
NPI assigned
Jun 1, 2009
Last updated
Feb 2, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2010

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

Authorized official

Name
Dr. Akindolapo O. Akinwande, MDNPI 1891766309
Title
Managing Member
Phone
(317) 694-8487

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X Primary

Addresses

Primary practice location

1935 N Capitol Ave
#200
Indianapolis, IN 46202-6403

Mailing address

1935 N Capitol Ave
#200
Indianapolis, IN 46202-6403
Phone (317) 694-8487

Other identifiers 1

IdentifierTypeStateIssuer
200965000AMedicaidIN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100204000338 IN Part B Supplier - Clinic/Group Practice 6305989989 Receives reassigned benefits from 4 practitioners
Practice locations: Indianapolis, IN

National Provider Directory

National Provider Directory

Locations

1935 N Capitol Ave
#200
Indianapolis, IN 46202
Phone (317) 931-3252

1935 N Capitol Ave
Ste 200
Indianapolis, IN 46202
Phone (317) 931-3252

Interoperability endpoints

  • Direct secure messaging: akindolapoakinwande@phsllc.allscriptsdirect.net

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1243814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265068800000",
    "number": "1356577688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1935 N CAPITOL AVE",
            "address_2": "#200",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462026403",
            "telephone_number": "317-694-8487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1935 N CAPITOL AVE",
            "address_2": "#200",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462026403",
            "telephone_number": "317-694-8487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE HEART SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-01",
        "last_updated": "2010-02-02",
        "status": "A",
        "authorized_official_last_name": "AKINWANDE",
        "authorized_official_first_name": "AKINDOLAPO",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "317-694-8487",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200965000A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Feb 2, 2010; 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.