Individual provider Active NPI

Sandra J. Dolny, P.A.-C.

  • Medical Physician Assistant
  • Indianapolis, IN
National Provider Identifier
1366760910
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
10001272A Issued in IN
Practice address
8805 N Meridian St
Indianapolis, IN 46260
Phone
(317) 706-7246
Fax
(317) 706-3419
NPI assigned
May 6, 2010
Sex
Female
Sole proprietor
No

Organizations & group practices 3

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.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shadeland Anesthesia and Pain Associates Inc 41 clinicians

Practice addresses (Care Compare)

3738 Landmark Dr
Suite a
Lafayette, IN 47905-6655
Phone 3177067246309

Hospital & facility affiliations

  • Community Hospital East Hospital, Indianapolis, IN, CCN 150074

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: No
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20110810000447 IN Practitioner - Physician Assistant 2163691056 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
10001272AINMDMedical Physician Assistant
012997-2NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Shadeland Anesthesia & Pain Associates Inc. CurrentSince Aug 22, 2011 Accepting new patients
Shadeland Anesthesia & Pain Associates Inc. CurrentSince Aug 22, 2011 Accepting new patients
Major Hospital Past Accepting new patients

Locations

29943 Network Pl
Chicago, IL 60673

9002 N Meridian St
Ste 209
Indianapolis, IN 46260
Phone (317) 750-3452

8805 N Meridian St
Indianapolis, IN 46260
Phone 3177067246109

3738 Landmark Dr
Ste A
Lafayette, IN 47905
Phone (765) 807-2780

Interoperability endpoints

  • Direct secure messaging: sandradolny@cfpm.allscriptsdirect.net

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 012997-2 NY
Medical Physician Assistant 363AM0700X 10001272A IN Primary
Physician Assistant 363A00000X 10001272A IN

Addresses

NPPES NPI Registry

Primary practice location

8805 N Meridian St
Indianapolis, IN 46260

Mailing address

8805 N Meridian St
Indianapolis, IN 46260-2760
Phone (317) 706-7246

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
201169130MedicaidIN

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 18, 2025.

{
    "created_epoch": "1273104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1366760910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8805 N MERIDIAN ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602760",
            "telephone_number": "317-706-7246",
            "fax_number": "317-706-3419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8805 N MERIDIAN ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46260",
            "telephone_number": "317-706-7246",
            "fax_number": "317-706-3419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLNY",
        "first_name": "SANDRA",
        "middle_name": "J.",
        "name_prefix": "Mrs.",
        "credential": "P.A.-C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-06",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "012997-2",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IN",
            "license": "10001272A",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10001272A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201169130",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.