Active NPI
Diamond Medical Services LLC
- Internal Medicine Physician
- Indianapolis, IN
National Provider Identifier
1376735951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 01060259A
- Legal business name
- DIAMOND MEDICAL SERVICES LLC
- Practice address
- 6865 Parkdale PL Ste a
Indianapolis, IN 46254-5655 - Phone
- (317) 291-1211
- Fax
- (317) 291-1194
- NPI assigned
- Aug 16, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Carla Dionne Willis, M.A
- Title
- Office Manager
- Phone
- (317) 291-1211
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 01060259A | IN | Primary |
Addresses
Primary practice location
6865 Parkdale PL Ste a
Indianapolis, IN 46254-5655
Mailing address
6865 Parkdale PL Ste a
Indianapolis, IN 46254-5655
Phone (317) 291-1211
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
6865 Parkdale Pl
Ste A
Indianapolis, IN 46254
Phone (317) 291-1211
8354 Little Eagle Ct
Ste C
Indianapolis, IN 46234
Phone (317) 291-1211
Interoperability endpoints
- https://api.platform.athenahealth.com/17289/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Indianapolis, IN
- NPI 1588659924
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187222400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208390400000",
"number": "1376735951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6865 PARKDALE PL STE A",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462545655",
"telephone_number": "317-291-1211",
"fax_number": "317-291-1194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6865 PARKDALE PL STE A",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462545655",
"telephone_number": "317-291-1211",
"fax_number": "317-291-1194"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIAMOND MEDICAL SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-16",
"last_updated": "2008-04-17",
"status": "A",
"authorized_official_last_name": "WILLIS",
"authorized_official_first_name": "CARLA",
"authorized_official_middle_name": "DIONNE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "317-291-1211",
"authorized_official_name_prefix": "Miss",
"authorized_official_credential": "M.A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "IN",
"license": "01060259A",
"primary": true
}
],
"identifiers": [],
"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 Apr 17, 2008; 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.