Natraj Reddy Ammakkanavar, M.D
Individual provider Active NPI Medical Oncology Physician · Indianapolis, IN
NPI 1376850461 · NPPES record last updated Sep 6, 2023
Key facts
- NPI
- 1376850461
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Oncology Physician 207RX0202X
- License
- 01070925A (IN)
- Practice address
- 7979 N Shadeland Ave
Ste 200
Indianapolis, IN 46250-2042 - Phone
- (317) 621-4300
- Fax
- (317) 621-4301
- NPI assigned
- Sep 10, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Medical Oncology
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Community Physicians of Indiana Inc
Community Physician Network Specialty Care LLC
Practice addresses (Care Compare)
7229 Clearvista Dr
Symptom Management Group
Indianapolis, IN 46256-1698
Phone (317) 621-4300
8075 N Shadeland Ave
Indianapolis, IN 46250-2693
Phone (317) 621-8000
Hospital & facility affiliations
- Community Health at Home LLC
- Community Hospital East
- Community Hospital of Anderson and Madison County
- Community Hospital North
- Community Howard Regional Health Inc.
- Community Hospital South, Inc.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150615002194 | IN | Practitioner - Medical Oncology |
3870739667 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Physicians of Indiana Inc | Current |
Accepting new patients | |
| Community Physicians of Indiana Inc | Current |
Accepting new patients | |
| Community Physician Network Specialty Care LLC | Current |
Accepting new patients |
Locations
5819 Reliable Pkwy
Chicago, IL 60686
5918 Reliable Pkwy
Chicago, IL 60686
1629 Medical Arts Blvd
#120
Anderson, IN 46011
Phone (765) 298-2400
11911 N Meridian St
Ste 170
Carmel, IN 46032
Phone (317) 621-0790
7979 N Shadeland Ave
Ste 310
Indianapolis, IN 46250
Phone (317) 621-3780
8075 N Shadeland Ave
Indianapolis, IN 46250
Phone (317) 621-8000
1400 N Ritter Ave
Ste 340
Indianapolis, IN 46219
Phone (317) 355-2524
6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547
7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444
7979 N Shadeland Ave
Ste 200
Indianapolis, IN 46250
Phone (317) 621-3300
Interoperability endpoints
- nammakkanavar167145@ecommunitydirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Oncology Physician | 207RX0202X | 01070925A | IN | Yes |
| Hematology (Internal Medicine) Physician | 207RH0000X | 01070925A | IN |
Addresses
Primary practice location
7979 N Shadeland Ave
Ste 200
Indianapolis, IN 46250-2042
Mailing address
6626 E 75TH St Ste 500
Indianapolis, IN 46250-2890
Phone (317) 621-4300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201125110 | Medicaid | IN | |
| 000000943086 | Other | IN | ANTHEM |
| P01751209 | Other | IN | RR MEDICARE |
| P01512377 | Other | IN | RAILROAD MEDICARE |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nammakkanavar167145@eCommunityDirect.com | Community Physicians of Indiana Inc |
Other providers in Indianapolis, IN
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All providers in Indianapolis, IN · Medical Oncology 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 6, 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.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.