Individual provider Active NPI

Alicia Kathleen Seelaus, DO

  • Family Medicine Physician
  • Indianapolis, IN
National Provider Identifier
1477130243
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
02008111A Issued in IN
Practice address
2340 E 10TH St
Indianapolis, IN 46201-2008
Phone
(317) 957-2070
Fax
(317) 957-2220
NPI assigned
Mar 26, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 02008111A IN Primary

Addresses

Primary practice location

2340 E 10TH St
Indianapolis, IN 46201-2008

Mailing address

3403 E Raymond Street
Indianapolis, IN 46203-4744
Phone (317) 957-2000

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250325002879 IN Practitioner - Family Practice 8628470481 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Marian University College of Osteopathic Medicine, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Healthnet IncGroup PAC ID 7214840933, 77 clinicians

Practice addresses (Care Compare)

2855 N Keystone Ave
Suite 120
Indianapolis, IN 46218-2790

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
02008111AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthnet, Inc. CurrentSince Mar 31, 2025 Accepting new patients
Major Hospital Past Accepting new patients

Locations

3403 E Raymond St
Indianapolis, IN 46203
Phone (317) 957-2000

2340 E 10th St
Indianapolis, IN 46201
Phone (317) 633-7360

3908 Meadows Dr
Indianapolis, IN 46205
Phone (317) 579-2275

1522 W Morris St
Indianapolis, IN 46221
Phone (317) 957-2500

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

3401 E Raymond St
Indianapolis, IN 46203
Phone (317) 788-9769

2855 N Keystone Ave
Ste 100
Indianapolis, IN 46218
Phone (317) 920-5760

901 Shelby St
Indianapolis, IN 46203
Phone (317) 488-2040

2855 N Keystone Ave
Ste 130
Indianapolis, IN 46218

6020 Crawfordsville Rd
Ste 102
Speedway, IN 46224
Phone (317) 957-2070

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1616716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1477130243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3403 E RAYMOND STREET",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462034744",
            "telephone_number": "317-957-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 E 10TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462012008",
            "telephone_number": "317-957-2070",
            "fax_number": "317-957-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEELAUS",
        "first_name": "ALICIA",
        "middle_name": "KATHLEEN",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-26",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "02008111A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.