Organization Active NPI

Community Physicians of Indiana Inc

  • Orthopaedic Surgery Physician
  • Indianapolis, IN
National Provider Identifier
1396083028
Registry record updated Nov 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
COMMUNITY PHYSICIANS OF INDIANA INC
Practice address
1400 N Ritter Ave
Suite 351
Indianapolis, IN 46219-3049
Phone
(317) 863-2213
Fax
(317) 355-1179
NPI assigned
Jan 31, 2013
Last updated
Nov 19, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2013

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

Authorized official

Name
Patrick E Rankin, MD
Title
Cmo
Phone
(317) 621-1659

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X NU Primary

Addresses

Primary practice location

1400 N Ritter Ave
Suite 351
Indianapolis, IN 46219-3049

Mailing address

1400 N Ritter Ave
Suite 351
Indianapolis, IN 46219-3049
Phone (317) 863-2213

Other identifiers 1

IdentifierTypeStateIssuer
201168260AMedicaidIN

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1400 N Ritter Ave
Ste 351
Indianapolis, IN 46219
Phone (317) 355-2663

NPI Registry JSON

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

{
    "created_epoch": "1359590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384819200000",
    "number": "1396083028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 N RITTER AVE",
            "address_2": "SUITE 351",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462193049",
            "telephone_number": "317-863-2213",
            "fax_number": "317-355-1179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N RITTER AVE",
            "address_2": "SUITE 351",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462193049",
            "telephone_number": "317-863-2213",
            "fax_number": "317-355-1179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY PHYSICIANS OF INDIANA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-31",
        "last_updated": "2013-11-19",
        "status": "A",
        "authorized_official_last_name": "RANKIN",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "317-621-1659",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201168260A",
            "state": "IN"
        }
    ],
    "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 Nov 19, 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.