Organization Active NPI

Prohealth Physicians

  • Family Medicine Physician
  • Plainfield, IN
National Provider Identifier
1457139552
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PROHEALTH PHYSICIANS
Practice address
2675 Chalbury Dr
Plainfield, IN 46168-7810
Phone
(317) 864-6240
NPI assigned
Sep 19, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Authorized official

Name
Chenai Mvundura
Title
Manager
Phone
(317) 864-6240

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2675 Chalbury Dr
Plainfield, IN 46168-7810

Mailing address

2675 Chalbury Dr
Plainfield, IN 46168-7810

Other names 1

  • PROHEALTH PHYSICIANS Former legal business name

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://fhirprd.reliantmedicalgroup.org/FHIRPRD/api/FHIR/R4/

NPI Registry JSON

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

{
    "created_epoch": "1695081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696896000000",
    "number": "1457139552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 CHALBURY DR",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "461687810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2675 CHALBURY DR",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "461687810",
            "telephone_number": "317-864-6240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROHEALTH PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-19",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A",
        "authorized_official_last_name": "MVUNDURA",
        "authorized_official_first_name": "CHENAI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "317-864-6240"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PROHEALTH PHYSICIANS",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Plainfield, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.