NPIMap

Organization Active NPI

Indiana Pediatric Associates, PC

  • Pediatrics Physician
  • Indiana, PA
National Provider Identifier
1467589796
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
INDIANA PEDIATRIC ASSOCIATES, PC
Practice address
2255 Philadelphia St Ste a
Indiana, PA 15701-1595
Phone
(724) 463-0476
Fax
(742) 463-1196
NPI assigned
Feb 27, 2007
Last updated
Mar 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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

Authorized official

Name
Jonna Keller, RN
Title
Officer Manager
Phone
(724) 463-0476

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

2255 Philadelphia St Ste a
Indiana, PA 15701-1595

Mailing address

2255 Philadelphia St
Ste a and Ste B
Indiana, PA 15701-1595
Phone (724) 463-0476

Other practice location 1

25 Colony Blvd Ste 108
Blairsville, PA 15717-7971
Phone (724) 459-6063

Other practice location 2

2255 Philadelphia St Ste B
Indiana, PA 15701-1595
Phone (724) 463-0476

National Provider Directory

National Provider Directory
Tax ID family
Indiana Pediatric Associates P C a3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

25 Colony Blvd
Ste 108
Blairsville, PA 15717
Phone (724) 459-6063

15 S 8th St
Ste 200
Indiana, PA 15701
Phone (724) 463-0476

2255 Philadelphia St
Ste A
Indiana, PA 15701
Phone (724) 462-0476

2255 Philadelphia St
Ste B
Indiana, PA 15701
Phone (724) 463-0476

2261 Philadelphia St
Indiana, PA 15701
Phone (412) 465-5151

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773014400000",
    "number": "1467589796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255 PHILADELPHIA ST",
            "address_2": "STE A AND STE B",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157011595",
            "telephone_number": "724-463-0476",
            "fax_number": "742-463-1196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255 PHILADELPHIA ST STE A",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157011595",
            "telephone_number": "724-463-0476",
            "fax_number": "742-463-1196"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 Colony Blvd Ste 108",
            "address_purpose": "LOCATION",
            "city": "Blairsville",
            "state": "PA",
            "postal_code": "157177971",
            "country_code": "US",
            "telephone_number": "724-459-6063",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2255 Philadelphia St Ste B",
            "address_purpose": "LOCATION",
            "city": "Indiana",
            "state": "PA",
            "postal_code": "157011595",
            "country_code": "US",
            "telephone_number": "724-463-0476",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INDIANA PEDIATRIC ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "JONNA",
        "authorized_official_title_or_position": "OFFICER MANAGER",
        "authorized_official_telephone_number": "724-463-0476",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indiana, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; 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.