Individual provider Active NPI

Sukhvir Kaur Benipal

  • Family Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1457194896
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71015382A Issued in IN
Practice address
9550 Allisonville Rd
Indianapolis, IN 46250-1201
Phone
(317) 842-4458
NPI assigned
Jun 14, 2024
Last updated
Jun 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71015382A IN Primary

Addresses

Primary practice location

9550 Allisonville Rd
Indianapolis, IN 46250-1201

Mailing address

10222 Sand Run LN
Fortville, IN 46040-4533
Phone (317) 792-0957

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240831000203 IN Practitioner - Nurse Practitioner 1153860309 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Moazzam Habib MD PCGroup PAC ID 7517038326, 3 clinicians

Practice addresses (Care Compare)

9240 N Meridian St
Suite 120
Indianapolis, IN 46260-1811
Phone (317) 571-0030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
71015382AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Moazzam Habib MD PC CurrentSince Jan 28, 2025 Accepting new patients

Locations

9240 N Meridian St
Ste 120
Indianapolis, IN 46260
Phone (317) 334-1359

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1718323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1457194896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10222 SAND RUN LN",
            "city": "FORTVILLE",
            "state": "IN",
            "postal_code": "460404533",
            "telephone_number": "317-792-0957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9550 ALLISONVILLE RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462501201",
            "telephone_number": "317-842-4458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENIPAL",
        "first_name": "SUKHVIR",
        "middle_name": "KAUR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-14",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71015382A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.