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Organization Active NPI

Indiana University Health, Inc

  • Cardiovascular Disease Physician
  • Indianapolis, IN
National Provider Identifier
1376586719
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 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
Last updated
Sep 19, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Authorized official

Name
Jennifer Alvey
Title
Cfo
Phone
(317) 963-0213

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X IN
Clinical Psychologist 103TC0700X IN
Clinical Social Worker 1041C0700X IN
Cardiovascular Disease Physician 207RC0000X IN Primary
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 10

IdentifierTypeStateIssuer
200338150MedicaidIN
200890480AMedicaidIN
100361630MedicaidIN
200716120MedicaidIN
201016120MedicaidIN
200021740MedicaidIN
200457660MedicaidIN
200015180MedicaidIN
200039850MedicaidIN
200851850MedicaidIN

Other names 1

  • Clarian Health Partners, Inc Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
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

Other NPIs with the same Medicare PAC ID 20

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 20

National Provider Directory

National Provider Directory

Locations

2242 Reliable Pkwy
Chicago, IL 60686

1115 Ronald Reagan Pkwy
Ste 14
Avon, IN 46123

1701 N Senate Ave
#A1089
Indianapolis, IN 46202
Phone (317) 924-8447

1701 N Senate Ave
Ste AG45
Indianapolis, IN 46202

1701 N Senate Blvd
#1204A
Indianapolis, IN 46202
Phone (317) 862-6793

1701 N Senate Blvd
#A1089
Indianapolis, IN 46202
Phone (317) 962-0500

1701 Senate Blvd
Fl 6
Indianapolis, IN 46202

1701 Senate Blvd
Ste A1075
Indianapolis, IN 46202

1801 N Senate Blvd
Ste 240
Indianapolis, IN 46202
Phone (317) 962-9830

1801 Senate Blvd
Ste 3100
Indianapolis, IN 46202
Phone (317) 962-9700

1812 N Capitol Ave
Indianapolis, IN 46202
Phone (317) 962-3061

355 W 16th St
Ste 3222
Indianapolis, IN 46202
Phone (317) 963-7385

550 University Blvd
#1103
Indianapolis, IN 46202
Phone (317) 962-8447

550 University Blvd
Rm 2110
Indianapolis, IN 46202
Phone (317) 274-3500

550 University Blvd
Ste 1103
Indianapolis, IN 46202

6820 Parkdale Pl
Ste 204
Indianapolis, IN 46254
Phone (317) 328-6600

702 Barnhill Dr
#2500
Indianapolis, IN 46202
Phone (317) 274-4681

8820 S Meridian St
Ste 200
Indianapolis, IN 46217
Phone (317) 865-6750

2209 John R Wooden Dr
Martinsville, IN 46151
Phone (765) 342-3364

2101 Dubois Dr
Warsaw, IN 46580
Phone (219) 267-3200

Ownership & related parties

All facility ownership & control disclosures 20

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Rehabilitation Hospital of Indiana IncIndianapolis, IN, CCN 153028 Hospital Other (51%) Feb 10, 1992
Indiana University Health Paoli HospitalPaoli, IN, CCN 151306 Hospital Operational/Managerial Control Jan 1, 2010
Indiana University Health Paoli HospitalPaoli, IN, CCN 15Z306 Hospital Operational/Managerial Control Jan 1, 2010
Iu Health Ball Memorial HospitalMuncie, IN, CCN 150089 Hospital Operational/Managerial Control Jan 9, 2009
Iu Health Bloomington HospitalBloomington, IN, CCN 150051 Hospital Operational/Managerial Control Jan 1, 2010
Iu Health Arnett HospitalLafayette, IN, CCN 150173 Hospital Operational/Managerial Control Aug 13, 2008
Iu Health Ball Memorial HospitalMuncie, IN, CCN 15T089 Hospital Operational/Managerial Control (100%) Jan 1, 2009
Iu Health Tipton HospitalTipton, IN, CCN 151311 Hospital Operational/Managerial Control Jan 1, 2009
Iu Health Tipton HospitalTipton, IN, CCN 15Z311 Hospital Operational/Managerial Control Jan 1, 2009
Iu Health White Memorial HospitalMonticello, IN, CCN 151312 Hospital Operational/Managerial Control Jul 1, 2011
Iu Health White Memorial HospitalMonticello, IN, CCN 15Z312 Hospital Operational/Managerial Control Jul 1, 2011
Indiana University Health Bedford HospitalBedford, IN, CCN 151328 Hospital Operational/Managerial Control (100%) Sep 15, 2005
Indiana University Health Bedford HospitalBedford, IN, CCN 15Z328 Hospital Operational/Managerial Control (100%) Sep 15, 2005
Iu Health FrankfortFrankfort, IN, CCN 151316 Hospital Operational/Managerial Control Jun 1, 2017
Iu Health FrankfortFrankfort, IN, CCN 15Z316 Hospital Operational/Managerial Control Jun 1, 2017
Iu Health JayPortland, IN, CCN 151320 Hospital Operational/Managerial Control Mar 1, 2018
Iu Health JayPortland, IN, CCN 15Z320 Hospital Operational/Managerial Control Mar 1, 2018
Indiana University Health HospiceIndianapolis, IN, CCN 151511 Hospice Operational/Managerial Control (100%) Jan 1, 1997
Iu Health Paoli Family and Internal MedicinePaoli, IN, CCN 158557 Rural health clinic Operational/Managerial Control Oct 1, 2020
Iu Health Blackford PhysiciansHartford City, IN, CCN 158558 Rural health clinic Operational/Managerial Control Jul 1, 2023

Owned or controlled facilities with NPI records 21

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 21

Practitioners & affiliated clinicians

Practitioners 411

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.

View all 411

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695081600000",
    "number": "1376586719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959",
            "telephone_number": "888-484-3258",
            "fax_number": "317-968-1074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 N SENATE BLVD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462021239",
            "telephone_number": "317-962-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 N Shadeland Ave",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462194959",
            "country_code": "US",
            "telephone_number": "317-962-4836",
            "fax_number": "317-962-4391",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INDIANA UNIVERSITY HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A",
        "authorized_official_last_name": "ALVEY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "317-963-0213"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": null,
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "IN",
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "IN",
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IN",
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "IN",
            "license": null,
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "IN",
            "license": null,
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "IN",
            "license": null,
            "primary": false
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "IN",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "IN",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IN",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200338150",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200890480A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100361630",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200716120",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201016120",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200021740",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200457660",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200015180",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200039850",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200851850",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clarian Health Partners, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Clarian Health Partners, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.