Individual provider Active NPI

Don Armenoff, P.A.

  • Physician Assistant
  • Avon, IN
National Provider Identifier
1467459206
Registry record updated Feb 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10000330A Issued in IN
Practice address
8244 E US Highway 36 Ste 1100
Avon, IN 46123-9627
Phone
(317) 272-7500
Fax
(317) 272-7515
NPI assigned
Jul 7, 2005
Last updated
Feb 13, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9102834 FL
Physician Assistant 363A00000X 10000330A IN Primary

Addresses

Primary practice location

8244 E US Highway 36 Ste 1100
Avon, IN 46123-9627

Mailing address

8019 Fishback Rd
Indianapolis, IN 46278-1027

Other practice location 1

7910 E Washington St
Suite 110
Indianapolis, IN 46219-6803
Phone (317) 355-3201

Other practice location 2

1100 Southfield Dr Ste 1140
Plainfield, IN 46168-4499
Phone (317) 839-7200

Other practice location 3

5492 N Ronald Reagan Pkwy Ste 130
Brownsburg, IN 46112-5618
Phone (317) 456-9050

Other practice location 4

8019 Fishback Rd
Indianapolis, IN 46278
Phone (317) 250-1054

Other identifiers 3

IdentifierTypeStateIssuer
201136100MedicaidIN
P01751298OtherINRR MEDICARE
291999100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, IN, WY3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20041122000193 FL Practitioner - Physician Assistant 7315902111 Reassigns benefits to 1 organization
I20070427000396 IN Practitioner - Physician Assistant 7315902111 Reassigns benefits to 6 organizations
I20160415001107 WY Practitioner - Physician Assistant 7315902111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9102834FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Medcor of Barrington, P.C. CurrentSince May 1, 2016 Accepting new patients
Hendricks County Hospital CurrentSince Feb 10, 2020 Accepting new patients
Hendricks County Hospital CurrentSince Feb 10, 2020 Accepting new patients
Riverview Hospital CurrentSince Feb 1, 2022 Accepting new patients
Indiana University Health Care Associates, Inc. CurrentSince Aug 15, 2022 Accepting new patients
Valley Oaks Health Inc CurrentSince Jun 3, 2024 Accepting new patients
Riverview Hospital CurrentSince Feb 1, 2022 Accepting new patients
Hendricks County Hospital Past Accepting new patients
Indiana University Radiology Associates, Inc. Past Accepting new patients
Indiana Radiology Partners, Inc Past Accepting new patients
Florida Radiology Imaging at Lake Mary, LLC Past Accepting new patients
University Medical Diagnostic Associates, Inc. Past Accepting new patients

Locations

5208 Reliable Pkwy
Chicago, IL 60686

8244 E US Highway 36
Ste 1100
Avon, IN 46123
Phone (317) 272-7500

5492 N Ronald Reagan Pkwy
Ste 130
Brownsburg, IN 46112
Phone (317) 456-9050

1701 Senate Blvd
#C6
Indianapolis, IN 46202
Phone (317) 962-9000

415 N 26th St
Ste 201
Lafayette, IN 47904
Phone (765) 446-6535

610 Main St
Lafayette, IN 47901
Phone (765) 423-2638

395 Westfield Rd
Noblesville, IN 46060
Phone (317) 218-3136

1100 Southfield Dr
Ste 1140
Plainfield, IN 46168
Phone (317) 836-6200

Interoperability endpoints

  • Direct secure messaging: don.armenoff.1@14940.direct.athenahealth.com
  • FHIR API: https://sehproxy.stelizabeth.com/arr-fhir/api/FHIR/R4

Organizations & group practices 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581552000000",
    "number": "1467459206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8019 FISHBACK RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462781027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8244 E US HIGHWAY 36 STE 1100",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461239627",
            "telephone_number": "317-272-7500",
            "fax_number": "317-272-7515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7910 E Washington St",
            "address_2": "Suite 110",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462196803",
            "country_code": "US",
            "telephone_number": "317-355-3201",
            "fax_number": "317-355-3217",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 Southfield Dr Ste 1140",
            "address_purpose": "LOCATION",
            "city": "Plainfield",
            "state": "IN",
            "postal_code": "461684499",
            "country_code": "US",
            "telephone_number": "317-839-7200",
            "fax_number": "317-837-7926",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5492 N Ronald Reagan Pkwy Ste 130",
            "address_purpose": "LOCATION",
            "city": "Brownsburg",
            "state": "IN",
            "postal_code": "461125618",
            "country_code": "US",
            "telephone_number": "317-456-9050",
            "fax_number": "317-858-5348",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8019 Fishback Rd",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "46278",
            "country_code": "US",
            "telephone_number": "317-250-1054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARMENOFF",
        "first_name": "DON",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9102834",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10000330A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201136100",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01751298",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "291999100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, IN

Sources for this page

Verify at the official NPI Registry.