NPIMap

Individual provider Active NPI

Andrew J Denardo, MD

  • Vascular & Interventional Radiology Physician
  • Carmel, IN
National Provider Identifier
1437154028
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
01042295A Issued in IN
Practice address
13345 Illinois St
Carmel, IN 46032-3318
Phone
(317) 396-1300
Fax
(317) 352-3417
NPI assigned
Jun 20, 2005
Last updated
Jun 5, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X M-17162 ID
Vascular & Interventional Radiology Physician 2085R0204X 01042295A IN Primary
Vascular & Interventional Radiology Physician 2085R0204X 0101046026 VA

Addresses

Primary practice location

13345 Illinois St
Carmel, IN 46032-3318

Mailing address

13345 Illinois St
Carmel, IN 46032-3318
Phone (317) 396-1300

Other practice location 1

500 Martha Jefferson Dr Fl 4
Charlottesville, VA 22911-4668
Phone (434) 654-8960

Other practice location 2

333 N 1st St Ste 250
Boise, ID 83702-6132
Phone (208) 381-9384

Other identifiers 2

IdentifierTypeStateIssuer
200007900MedicaidIN
000000176716OtherANTHEM BCBS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address andrew.denardomd.p1@direct.goodmancampbell.nextgenshare.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, VA, ID3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20040209000743 IN Practitioner - Diagnostic Radiology 0749174126 Reassigns benefits to 1 organization
I20191112001338 VA Practitioner - Diagnostic RadiologyPractitioner - NeurologyPractitioner - Interventional Radiology 0749174126 Reassigns benefits to 1 organization
I20230717000697 ID Practitioner - Interventional Radiology 0749174126 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Radiology
Education
Temple University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Clinic-Treasure Valley LLCGroup PAC ID 4981878402, 1,155 clinicians

Practice addresses (Care Compare)

100 E Bannock St
Boise, ID 83712-6241
Phone (208) 381-2983

13345 Illinois St
Carmel, IN 46032-3318
Phone (317) 396-1451

190 E Bannock St
Boise, ID 83712-6241
Phone (208) 381-9384

520 S Eagle Rd
Meridian, ID 83642-6351

608 W Hays St
Boise, ID 83702-5511
Phone (208) 381-5970

610 W Hays St
Boise, ID 83702-5511
Phone (208) 381-5970

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01042295AINMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Martha Jefferson Medical Group LLC CurrentSince Oct 16, 2019 Accepting new patients
St Lukes Clinic-Treasure Valley LLC CurrentSince Jun 5, 2023 Accepting new patients
Major Hospital Past Accepting new patients
Indiana University Health, Inc Past Accepting new patients
Indiana Radiology Partners, Inc Neuroradiology Past Accepting new patients
St Lukes Regional Medical Center Past Accepting new patients
Brownsburg Family Medical Center, P.C. Past Accepting new patients
Martha Jefferson Hospital PastSince Sep 8, 2025 Accepting new patients
Hendricks County Hospital Past Accepting new patients

Locations

333 N 1st St
Ste 250
Boise, ID 83702
Phone (208) 381-9384

610 W Hays St
Boise, ID 83702
Phone (208) 345-3530

1646 Park Ridge Dr
Crozet, VA 22932
Phone (434) 654-2760

Interoperability endpoints

  • Direct secure messaging: adenardo@direct.iuhealth.org
  • Direct secure messaging: adenardo501315@direct.franciscanalliance.org
  • Direct secure messaging: andrew.denardo.p1@direct.goodmancampbell.nextgenshare.com
  • Direct secure messaging: andrew.denardomd.p1@direct.goodmancampbell.nextgenshare.com

Organizations & group practices 10

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

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": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1437154028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13345 ILLINOIS ST",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460323318",
            "telephone_number": "317-396-1300",
            "fax_number": "317-352-3417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13345 ILLINOIS ST",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460323318",
            "telephone_number": "317-396-1300",
            "fax_number": "317-352-3417"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Martha Jefferson Dr Fl 4",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229114668",
            "country_code": "US",
            "telephone_number": "434-654-8960",
            "fax_number": "434-654-8961",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "333 N 1st St Ste 250",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837026132",
            "country_code": "US",
            "telephone_number": "208-381-9384",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DENARDO",
        "first_name": "ANDREW",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "ID",
            "license": "M-17162",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "IN",
            "license": "01042295A",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "VA",
            "license": "0101046026",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200007900",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000176716",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "andrew.denardomd.p1@direct.goodmancampbell.nextgenshare.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "13345 Illinois St",
            "city": "Carmel",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460323318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.