Individual provider Active NPI

Michael J Kourany, MD

  • Cardiovascular Disease Physician
  • Indianapolis, IN
National Provider Identifier
1407824816
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
01050950A Issued in IN
Practice address
10590 N Meridian St
Indianapolis, IN 46290-1028
Phone
(317) 338-6666
Fax
(317) 338-6066
NPI assigned
Mar 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 01050950A IN Primary
Internal Medicine Physician 207R00000X 01050950A IN

Addresses

Primary practice location

10590 N Meridian St
Indianapolis, IN 46290-1028

Mailing address

10590 N Meridian St
Carmel, IN 46290-1028

Other identifiers 2

IdentifierTypeStateIssuer
200812820MedicaidIN
P00452687OtherINRRMC - CARDIOVASCULAR DIAGNOSTIC SERVICES

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address michael.kourany.1@7598.direct.athenahealth.com St. Vincent Medical Group, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061103000258 IN Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3870590805 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Indiana University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Vincent Medical Group IncGroup PAC ID 7012047640, 728 clinicians

Practice addresses (Care Compare)

10580 N Meridian St
Carmel, IN 46290-1028
Phone (317) 583-5000

10590 N Meridian St
Carmel, IN 46290-1028

1185 N 1000
Linton, IN 47441-5282
Phone (812) 847-2281

2001 W 86TH St
Indianapolis, IN 46260-1902
Phone (317) 338-2345

250 W 96TH St
Suite 520
Indianapolis, IN 46260-1317

8333 Naab Rd
Suite 420
Indianapolis, IN 46260-1992
Phone (317) 338-6666

8433 Harcourt Rd
Suite 100
Indianapolis, IN 46260-2193
Phone (317) 583-7600

9166 E US Hwy 36
Avon, IN 46123-7772
Phone (317) 583-7600

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting116
Pacemaker insertion or repair1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincent Physician Services Hospital and Health Care Center Internal Medicine CurrentSince May 21, 2014 Accepting new patients
St. Vincent Medical Group, Inc. Internal Medicine CurrentSince Jan 18, 2016 Accepting new patients
St Vincent Physician Services Hospital and Health Care Center CurrentSince May 21, 2014 Accepting new patients
The Care Labs, LLC Past Accepting new patients
Major Hospital Past Accepting new patients
Northside Cardiac Cath Lab Partnership Cardiovascular Disease PastSince Jan 19, 2009 Accepting new patients
Rush Memorial Hospital Past Accepting new patients
St Vincent Medical Group Inc Cardiovascular Disease Past Accepting new patients

Locations

9166 E US Highway 36
Avon, IN 46123
Phone (317) 415-5300

10580 N Meridian St
Carmel, IN 46290
Phone (317) 338-2273

10590 N Meridian St
Carmel, IN 46290
Phone (317) 338-6666

8333 Naab Rd
Indianapolis, IN 46260
Phone (317) 338-3103

8433 Harcourt Rd
Ste 100
Indianapolis, IN 46260
Phone (317) 583-7702

8333 Naab Rd
Ste 400
Indianapolis, IN 46260
Phone (317) 338-5066

8333 Naab Rd
Ste 335
Indianapolis, IN 46260
Phone (317) 338-5066

250 W 96th St
#520
Indianapolis, IN 46260
Phone (317) 583-3331

8333 Naab Rd
Ste 180
Indianapolis, IN 46260
Phone (317) 871-8905

8240 Naab Rd
Ste 155
Indianapolis, IN 46260
Phone (317) 338-7760

8333 Naab Rd
Ste 420
Indianapolis, IN 46260
Phone (317) 338-6666

8333 Naab Rd
#180B
Indianapolis, IN 46260
Phone (317) 338-6666

1185 N 1000 W
Linton, IN 47441
Phone (812) 847-2281

110 E 13th St
Rushville, IN 46173
Phone (765) 932-7063

Ownership & related parties

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Ascension St Vincent Heart CenterCarmel, IN, CCN 150153 Hospital Corporate Director Dec 1, 2016

Owned or controlled facilities with NPI records 1

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

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1407824816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10590 N MERIDIAN ST",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "462901028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10590 N MERIDIAN ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462901028",
            "telephone_number": "317-338-6666",
            "fax_number": "317-338-6066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOURANY",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-10",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "01050950A",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01050950A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200812820",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMC - CARDIOVASCULAR DIAGNOSTIC SERVICES",
            "identifier": "P00452687",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michael.kourany.1@7598.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "St. Vincent Medical Group, Inc.",
            "address_1": "10590 N Meridian St",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462901028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.