NPIMap

Organization Active NPI

Amsurg Indianapolis Anesthesia LLC

  • Anesthesiology Physician
  • Indianapolis, IN
National Provider Identifier
1487056388
Registry record updated Jan 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
AMSURG INDIANAPOLIS ANESTHESIA LLC
Practice address
8424 Nabb Road
Suite 3-G
Indianapolis, IN 46260-1975
Phone
(317) 871-7308
Fax
(317) 871-7314
NPI assigned
Sep 23, 2014
Last updated
Jan 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2023

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

Authorized official

Name
Miss Jean Kochendorfer
Title
Sr Director of RCM Transformation
Phone
(615) 240-3795

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X IN Primary

Addresses

Primary practice location

8424 Nabb Road
Suite 3-G
Indianapolis, IN 46260-1975

Mailing address

1A Burton Hills Blvd
Attn: Provider Enrollment
Nashville, TN 37215-6187
Phone (615) 240-3809

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150123000689 IN Part B Supplier - Clinic/Group Practice 7618291550 Receives reassigned benefits from 24 practitioners
Practice locations: Indianapolis, IN

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

8057 Collection Ctr Dr
Chicago, IL 60693

8424 Naab Rd
Ste 3G
Indianapolis, IN 46260
Phone (317) 871-7308

Practitioners & affiliated clinicians

Practitioners 25

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.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1411430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674172800000",
    "number": "1487056388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1A BURTON HILLS BLVD",
            "address_2": "ATTN: PROVIDER ENROLLMENT",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372156187",
            "telephone_number": "615-240-3809",
            "fax_number": "615-234-1809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8424 NABB ROAD",
            "address_2": "SUITE 3-G",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601975",
            "telephone_number": "317-871-7308",
            "fax_number": "317-871-7314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMSURG INDIANAPOLIS ANESTHESIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-23",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A",
        "authorized_official_last_name": "KOCHENDORFER",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "SR DIRECTOR OF RCM TRANSFORMATION",
        "authorized_official_telephone_number": "615-240-3795",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.