International Medical Surgical Center, LLC

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

Legal business name

INTERNATIONAL MEDICAL SURGICAL CENTER, LLC

Practice address

6925 E 96TH St Ste 200
Indianapolis, IN 46250-3654

Phone

(317) 489-3265

Fax

(317) 489-3714

NPI assigned

Jun 8, 2023

Last updated

Apr 4, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Josue J Villalta, MDNPI 1144310244

Title

President

Phone

(317) 489-3265

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Josue J Villalta, MD

  • Gynecology Physician
  • Indianapolis, IN
  • NPI 1144310244
  Medicare reassignment NPD Authorized official
• Julio Cesar Sanchez, M.D

  • General Practice Physician
  • Indianapolis, IN
  • NPI 1568615300
  Medicare reassignment NPD

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

{
    "created_epoch": "1686182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743724800000",
    "number": "1417641606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6925 E 96TH ST STE 200",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462503654",
            "telephone_number": "317-489-3265",
            "fax_number": "317-489-3714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6925 E 96TH ST STE 200",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462503654",
            "telephone_number": "317-489-3265",
            "fax_number": "317-489-3714"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "39 N US Highway 31",
            "address_purpose": "LOCATION",
            "city": "Whiteland",
            "state": "IN",
            "postal_code": "461841545",
            "country_code": "US",
            "telephone_number": "317-759-9327",
            "fax_number": "317-854-6443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INTERNATIONAL MEDICAL SURGICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-08",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-01",
        "status": "A",
        "authorized_official_last_name": "VILLALTA",
        "authorized_official_first_name": "JOSUE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-489-3265",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gynecology Physician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Gynecology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; 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.

Verify at the official NPI Registry.