Indiana University Health, Inc
Organization Active NPI Cardiovascular Disease Physician · Indianapolis, IN
NPI 1376586719 · NPPES record last updated Sep 19, 2023
Key facts
- NPI
- 1376586719
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- Legal business name
- INDIANA UNIVERSITY HEALTH, INC
- Practice address
- 1701 N Senate Blvd
Indianapolis, IN 46202-1239 - Phone
- (317) 962-2000
- NPI assigned
- Jun 14, 2006
- Organization subpart
- No
Authorized official
- Name
- Jennifer Alvey
- Title
- Cfo
- Phone
- (317) 963-0213
Owned or controlled facilities with NPI records 21
Other NPIs with the same Medicare PAC ID 20
Practitioners 411
-
Karam Al-Issa, M.D.
-
Lori J Beck, NP
-
Jeffrey A Breall, M.D.
-
Janet Sue Brown, LMHC, ATR
-
Michael Scott Byers, M.D.
-
Joshua D Chambers, PA-C
-
Mithilesh K Das, MD
-
Noel R Dasgupta, MD
-
Ankit Ajit Desai, MD
-
William J Gill, M.D.
-
Keith W Green, CRNA
-
Makram Y Hajj, MD
-
Mohamed Homsi, MD
-
Upasana Jarori, MD
-
Jai Kumar Khatri, MD
-
Abhishek Khemka, MD
-
Rolf Kreutz, MD
-
Nathan D Lambert, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (4 enrollments) in IN
All facility ownership & control disclosures 20
| Facility | Type | Role | Since |
|---|---|---|---|
| Rehabilitation Hospital of Indiana Inc |
Hospital | Other (51%) | Feb 10, 1992 |
| Indiana University Health Paoli Hospital |
Hospital | Operational/Managerial Control | Jan 1, 2010 |
| Indiana University Health Paoli Hospital |
Hospital | Operational/Managerial Control | Jan 1, 2010 |
| Iu Health Ball Memorial Hospital |
Hospital | Operational/Managerial Control | Jan 9, 2009 |
| Iu Health Bloomington Hospital |
Hospital | Operational/Managerial Control | Jan 1, 2010 |
| Iu Health Arnett Hospital |
Hospital | Operational/Managerial Control | Aug 13, 2008 |
| Iu Health Ball Memorial Hospital |
Hospital | Operational/Managerial Control (100%) | Jan 1, 2009 |
| Iu Health Tipton Hospital |
Hospital | Operational/Managerial Control | Jan 1, 2009 |
| Iu Health Tipton Hospital |
Hospital | Operational/Managerial Control | Jan 1, 2009 |
| Iu Health White Memorial Hospital |
Hospital | Operational/Managerial Control | Jul 1, 2011 |
| Iu Health White Memorial Hospital |
Hospital | Operational/Managerial Control | Jul 1, 2011 |
| Indiana University Health Bedford Hospital |
Hospital | Operational/Managerial Control (100%) | Sep 15, 2005 |
| Indiana University Health Bedford Hospital |
Hospital | Operational/Managerial Control (100%) | Sep 15, 2005 |
| Iu Health Frankfort |
Hospital | Operational/Managerial Control | Jun 1, 2017 |
| Iu Health Frankfort |
Hospital | Operational/Managerial Control | Jun 1, 2017 |
| Iu Health Jay |
Hospital | Operational/Managerial Control | Mar 1, 2018 |
| Iu Health Jay |
Hospital | Operational/Managerial Control | Mar 1, 2018 |
| Indiana University Health Hospice |
Hospice | Operational/Managerial Control (100%) | Jan 1, 1997 |
| Iu Health Paoli Family and Internal Medicine |
Rural health clinic | Operational/Managerial Control | Oct 1, 2020 |
| Iu Health Blackford Physicians |
Rural health clinic | Operational/Managerial Control | Jul 1, 2023 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031112000030 | IN | Part B Supplier - Clinic/Group Practice | 2365350675 |
Receives reassigned benefits from 2 practitioners Practice locations: Indianapolis, IN |
| O20040407000695 | IN | Part B Supplier - Clinic/Group Practice | 2365350675 |
Receives reassigned benefits from 154 practitioners Practice locations: Indianapolis, IN; Lafayette, IN; Martinsville, IN; Zionsville, IN; Anderson, IN; Avon, IN; Bloomington, IN; Carmel, IN… |
| O20041005000694 | IN | Part B Supplier - Clinic/Group Practice | 2365350675 |
Receives reassigned benefits from 2 practitioners Practice locations: Indianapolis, IN |
| O20051220000260 | IN | Part B Supplier - Clinic/Group Practice | 2365350675 |
Receives reassigned benefits from 8 practitioners Practice locations: Indianapolis, IN |
National Provider Directory
Locations
2242 Reliable Pkwy
Chicago, IL 60686
1210 Medical Arts Blvd
Ste 114
Anderson, IN 46011
Phone (765) 298-4425
1115 Ronald Reagan Pkwy
Ste 14
Avon, IN 46123
1111 Ronald Reagan Pkwy
Ste 12028
Avon, IN 46123
1801 Senate Blvd
Ste 4000
Indianapolis, IN 46202
Phone (317) 962-0500
1701 N Senate Blvd
#A1089
Indianapolis, IN 46202
Phone (317) 962-0500
1633 N Capitol Ave
Ste 640
Indianapolis, IN 46202
Phone (317) 962-6335
550 University Blvd
Rm 2110
Indianapolis, IN 46202
Phone (317) 274-3500
355 W 16th St
Ste 3222
Indianapolis, IN 46202
Phone (317) 963-7385
1633 N Capitol Ave
Indianapolis, IN 46202
Phone (317) 962-2929
1701 Senate Blvd
Ste A1075
Indianapolis, IN 46202
6440 W 34th St
Indianapolis, IN 46224
Phone (317) 293-4930
702 Barnhill Dr
#2500
Indianapolis, IN 46202
Phone (317) 274-4681
1701 N Senate Ave
Ste AG45
Indianapolis, IN 46202
1346 E County Line Rd
Indianapolis, IN 46227
Phone (317) 859-5500
1701 N Senate Ave
Ste C6
Indianapolis, IN 46202
1801 N Senate Blvd
Ste 240
Indianapolis, IN 46202
Phone (317) 962-9830
1701 N Senate Ave
#A1089
Indianapolis, IN 46202
Phone (317) 924-8447
1701 Senate Blvd
Fl 6
Indianapolis, IN 46202
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | IN | ||
| Clinical Psychologist |
103TC0700X | IN | ||
| Clinical Social Worker |
1041C0700X | IN | ||
| Cardiovascular Disease Physician |
207RC0000X | IN | Yes | |
| Geriatric Medicine (Internal Medicine) Physician |
207RG0300X | IN | ||
| Hematology (Internal Medicine) Physician |
207RH0000X | IN | ||
| Hematology & Oncology Physician |
207RH0003X | IN | ||
| Infectious Disease Physician |
207RI0200X | IN | ||
| Rheumatology Physician |
207RR0500X | IN | ||
| Medical Oncology Physician |
207RX0202X | IN | ||
| Pediatric Adolescent Medicine Physician |
2080A0000X | IN | ||
| Radiation Oncology Physician |
2085R0001X | IN | ||
| Surgery Physician |
208600000X | IN | ||
| Speech-Language Pathologist |
235Z00000X | IN | ||
| Nurse Practitioner |
363L00000X | IN |
Addresses
Primary practice location
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Mailing address
250 N Shadeland Ave
Indianapolis, IN 46219-4959
Phone (888) 484-3258
Other practice location 1
250 N Shadeland Ave
Indianapolis, IN 46219-4959
Phone (317) 962-4836
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200039850 | Medicaid | IN | |
| 200851850 | Medicaid | IN | |
| 200015180 | Medicaid | IN | |
| 100361630 | Medicaid | IN | |
| 200457660 | Medicaid | IN | |
| 200890480A | Medicaid | IN | |
| 201016120 | Medicaid | IN | |
| 200338150 | Medicaid | IN | |
| 200021740 | Medicaid | IN | |
| 200716120 | Medicaid | IN |
Other names
- Clarian Health Partners, Inc
Other providers in Indianapolis, IN
- Indiana University Health Inc.
- Indiana University Health Urgent Care Centers, LLC
- Indiana University Health Urgent Care Centers, LLC
- Indiana University Health Urgent Care Centers, LLC
- Indiana University Health Urgent Care Centers, LLC
- Indiana University Health, Inc
- Indiana University Health, Inc
- Indiana University Health, Inc
- Indiana University Health, Inc
- Indiana University Health, Inc
All providers in Indianapolis, IN · Cardiovascular Disease Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.