Indiana University Radiology Associates Inc

Primary specialty

Oral and Maxillofacial Radiology DentistryTaxonomy code 1223X0008X

License

12010577 Issued in IN

Legal business name

INDIANA UNIVERSITY RADIOLOGY ASSOCIATES INC

Practice address

250 N Shadeland Ave
Ste 200
Indianapolis, IN 46219-4959

Phone

(317) 962-4836

Fax

(317) 962-4391

NPI assigned

Dec 17, 2012

Organization subpart

Yes

Parent organization

IU RADIOLOGY ASSOCIATESAs reported in NPPES

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

Authorized official

Name

Mr. Randall J Luckey

Title

Secretary, Treasurer

Phone

(317) 472-4565

Specialties & licenses 2

Addresses

Other identifiers 1

Tax ID family

Indiana University Radiology Associates Inc2 organizations share this tax ID, including this one

Part of

Indiana University Radiology Associates Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Indiana University Radiology Associates, Inc.

  • Diagnostic Radiology Physician
  • Indianapolis, IN
  • NPI 1336192665
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jason W Allen, MD, PHD

  • Diagnostic Radiology Physician
  • Indianapolis, IN
  • NPI 1326075342
  NPD
• Himanshu Shah, MD

  • Vascular & Interventional Radiology Physician
  • Indianapolis, IN
  • NPI 1629005210
  NPD

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

{
    "created_epoch": "1355702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370390400000",
    "number": "1376889568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 N SENATE AVE",
            "address_2": "STE 100",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462023763",
            "telephone_number": "317-962-4836",
            "fax_number": "317-962-4391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "address_2": "STE 200",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959",
            "telephone_number": "317-962-4836",
            "fax_number": "317-962-4391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA UNIVERSITY RADIOLOGY ASSOCIATES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "IU RADIOLOGY ASSOCIATES",
        "enumeration_date": "2012-12-17",
        "last_updated": "2013-06-05",
        "status": "A",
        "authorized_official_last_name": "LUCKEY",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SECRETARY, TREASURER",
        "authorized_official_telephone_number": "317-472-4565",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IN",
            "license": "12010577",
            "primary": false
        },
        {
            "code": "1223X0008X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Radiology",
            "state": "IN",
            "license": "12010577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201129790",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Indiana University Hospital
• Indiana University Medical Center
• Indiana University Medical Center
• Indiana University Medical Genetics Service, Inc.
• Indiana University Psychiatric Associates, Inc.
• Indiana University Radiology Associates, Inc.
• Indiana University School of Medicine
• Indiana University School of Medicine
• Indiana University School of Medicine
• Indiana University School of Medicine

• Dentist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.