Organization Active NPI

Butler University

  • Family Medicine Physician
  • Indianapolis, IN
National Provider Identifier
1447499157
Registry record updated Feb 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BUTLER UNIVERSITY
Doing business as
Butler University Health Services
Practice address
530 W 49TH St
Indianapolis, IN 46208-3480
Phone
(317) 940-9385
Fax
(317) 940-6403
NPI assigned
Feb 19, 2009
Organization subpart
Yes
Parent organization
BUTLER UNIVERSITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 19, 2009

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

Authorized official

Name
Vicky Rosa, RN,MHA
Title
Director, Health Cetner
Phone
(317) 940-9385

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

530 W 49TH St
Indianapolis, IN 46208-3480

Mailing address

PO Box 5199
Abilene, TX 79608-5199
Phone (866) 890-6390

Other names 1

  • Butler University Health Services Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D0690431Butler University Health Services530 W 49TH Street, HRC - Room 110, Indianapolis, IN 46208Certificate of waiverAug 27, 2027

National Provider Directory

National Provider Directory
Part of
Butler University

Locations

530 W 49th St
Rm 110
Indianapolis, IN 46208

530 W 49th St
Indianapolis, IN 46208
Phone (317) 940-9385

530 W 49th St
#110
Indianapolis, IN 46208

530 W 49th St
Ste 110
Indianapolis, IN 46208

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1235001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235001600000",
    "number": "1447499157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5199",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796085199",
            "telephone_number": "866-890-6390",
            "fax_number": "325-437-8390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 W 49TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462083480",
            "telephone_number": "317-940-9385",
            "fax_number": "317-940-6403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUTLER UNIVERSITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BUTLER UNIVERSITY",
        "enumeration_date": "2009-02-19",
        "last_updated": "2009-02-19",
        "status": "A",
        "authorized_official_last_name": "ROSA",
        "authorized_official_first_name": "VICKY",
        "authorized_official_title_or_position": "DIRECTOR, HEALTH CETNER",
        "authorized_official_telephone_number": "317-940-9385",
        "authorized_official_credential": "RN,MHA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Butler University Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.