Active NPI
Butler University
- Family Medicine Physician
- Indianapolis, IN
National Provider Identifier
1447499157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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 UNIVERSITY
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 15D0690431 | Butler University Health Services | Certificate of waiver | Aug 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.
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1629310453
-
- Nurse Practitioner
- Indianapolis, IN
- NPI 1164063202
-
- Physician Assistant
- Breese, IL
- NPI 1851401715
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.