NPIMap

Organization Active NPI

Urology of Indiana L.L.C.

  • Urology Physician
  • Greenwood, IN
National Provider Identifier
1487680518
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
UROLOGY OF INDIANA L.L.C.
Practice address
679 E County Line Rd
Greenwood, IN 46143-1049
Phone
(317) 859-7222
Fax
(317) 859-7220
NPI assigned
Jun 23, 2006
Last updated
Sep 11, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Authorized official

Name
Ronald S Suh, MDNPI 1164436523
Title
Vice President
Phone
(317) 890-2000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VF0040X
Cytopathology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ZC0500X
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ZP0102X
Radiation Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0001X
Vascular & Interventional Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0204X
Urology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208800000X Primary
Clinic/Center 261Q00000X
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

679 E County Line Rd
Greenwood, IN 46143-1049

Mailing address

679 E County Line Rd
Greenwood, IN 46143-1049
Phone (317) 890-2000

Other practice location 1

120 Avon Marketplace Ste 200
Avon, IN 46123-6021
Phone (317) 671-8032

Other practice location 2

One Memorial Square Ste 225
Greenfield, IN 46140-1381
Phone (317) 462-0700

Other practice location 3

1270 N Post Rd Ste A
Indianapolis, IN 46219-4254
Phone (317) 895-6095

Other practice location 4

1159 W Jefferson St Ste 302
Franklin, IN 46131-2192
Phone (317) 736-9487

Other practice location 5

2705 N Lebanon St Ste 360
Lebanon, IN 46052-8621
Phone (765) 483-7380

Other practice location 6

11380 Illinois St
Carmel, IN 46032-9840
Phone (317) 890-2000

Other practice location 7

14300 E 138th St Bldg A
Fishers, IN 46037-0087
Phone (317) 813-1660

Other practice location 8

1215 Hadley Rd Ste 203
Mooresville, IN 46158-2905
Phone (317) 831-3043

Other practice location 9

13420 N Meridian St Ste 270
Carmel, IN 46032-1581
Phone (317) 582-8560

Other practice location 10

2907 S McIntire Dr Ste A
Bloomington, IN 47403-4224
Phone (317) 890-2000

Other practice location 11

1704 Lafayette Rd Ste 8
Crawfordsville, IN 47933-1071
Phone (765) 359-2088

Other practice location 12

2312 S Dixon Rd Ste 240
Kokomo, IN 46902-6401
Phone (765) 455-4075

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address urologyin@directaddress.net Urology of Indiana L.L.C.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031111000154 IN Part B Supplier - Clinic/Group Practice 7517870009 Receives reassigned benefits from 94 practitioners
Practice locations: Avon, IN; Shelbyville, IN; Mooresville, IN; Lebanon, IN; Kokomo, IN; Indianapolis, IN; Greenwood, IN; Greenfield, IN…

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D0352260Urology of Indiana - Carmel Clinic PPMP11380 Illinois Street, Carmel, IN 46032Provider-performed microscopySep 28, 2027
15D0358654Urology of Indiana-Kokomo2312 S Dixon Rd Suite 240, Kokomo, IN 46902Provider-performed microscopyOct 4, 2027
15D0865477Urology of Indiana, LLC11380 Illinois Street, Carmel, IN 46032AccreditationNov 1, 2026
15D2164847Urology of Indiana, LLC13420 N Meridian Street, Suite 370, Carmel, IN 46032Provider-performed microscopyApr 14, 2027
15D2251838Urology of Indiana, LLC2907 S McIntire Drive, Suite a, Bloomington, IN 47403Provider-performed microscopyFeb 6, 2028

National Provider Directory

National Provider Directory

Locations

102 N Avon Ave
Avon, IN 46123

1115 Ronald Reagan Pkwy
Ste 247
Avon, IN 46123
Phone (317) 217-2090

120 N Avon Ave
Ste 200
Avon, IN 46123
Phone (317) 671-8032

11380 Illinois St
Carmel, IN 46032
Phone (877) 362-2778

1704 Lafayette Rd
Crawfordsvlle, IN 47933
Phone (765) 364-0034

1331 S A St
Elwood, IN 46036
Phone (765) 552-4000

1159 W Jefferson St
Ste 302
Franklin, IN 46131
Phone (317) 736-7651

1270 N Post Rd
Ste A
Indianapolis, IN 46219
Phone (317) 895-6095

8240 Naab Rd
Ste 200
Indianapolis, IN 46260
Phone (317) 872-0123

2312 S Dixon Rd
Ste 240
Kokomo, IN 46902
Phone (765) 455-4075

2345 W Lincoln Rd
Kokomo, IN 46902
Phone (317) 457-4075

1215 Hadley Rd
Mooresville, IN 46158
Phone (317) 834-2020

1215 Hadley Rd
#203
Mooresville, IN 46158
Phone (317) 831-3043

1215 Hadley Rd
Ste 203
Mooresville, IN 46158
Phone (317) 831-3043

1060 S Main St
Ste 1
Tipton, IN 46072
Phone (765) 675-1410

Practitioners & affiliated clinicians

Practitioners 105

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 105

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789084800000",
    "number": "1487680518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "679 E COUNTY LINE RD",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461431049",
            "telephone_number": "317-890-2000",
            "fax_number": "317-859-7220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "679 E COUNTY LINE RD",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461431049",
            "telephone_number": "317-859-7222",
            "fax_number": "317-859-7220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Avon Marketplace Ste 200",
            "address_purpose": "LOCATION",
            "city": "Avon",
            "state": "IN",
            "postal_code": "461236021",
            "country_code": "US",
            "telephone_number": "317-671-8032",
            "fax_number": "317-671-8033",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "One Memorial Square Ste 225",
            "address_purpose": "LOCATION",
            "city": "Greenfield",
            "state": "IN",
            "postal_code": "461401381",
            "country_code": "US",
            "telephone_number": "317-462-0700",
            "fax_number": "317-462-6123",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1270 N Post Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462194254",
            "country_code": "US",
            "telephone_number": "317-895-6095",
            "fax_number": "317-895-6195",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1159 W Jefferson St Ste 302",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "IN",
            "postal_code": "461312192",
            "country_code": "US",
            "telephone_number": "317-736-9487",
            "fax_number": "317-736-9820",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2705 N Lebanon St Ste 360",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "IN",
            "postal_code": "460528621",
            "country_code": "US",
            "telephone_number": "765-483-7380",
            "fax_number": "317-876-2343",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11380 Illinois St",
            "address_purpose": "LOCATION",
            "city": "Carmel",
            "state": "IN",
            "postal_code": "460329840",
            "country_code": "US",
            "telephone_number": "317-890-2000",
            "fax_number": "317-859-7220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14300 E 138th St Bldg A",
            "address_purpose": "LOCATION",
            "city": "Fishers",
            "state": "IN",
            "postal_code": "460370087",
            "country_code": "US",
            "telephone_number": "317-813-1660",
            "fax_number": "317-813-1667",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1215 Hadley Rd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Mooresville",
            "state": "IN",
            "postal_code": "461582905",
            "country_code": "US",
            "telephone_number": "317-831-3043",
            "fax_number": "317-831-3089",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13420 N Meridian St Ste 270",
            "address_purpose": "LOCATION",
            "city": "Carmel",
            "state": "IN",
            "postal_code": "460321581",
            "country_code": "US",
            "telephone_number": "317-582-8560",
            "fax_number": "317-564-5556",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2907 S McIntire Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IN",
            "postal_code": "474034224",
            "country_code": "US",
            "telephone_number": "317-890-2000",
            "fax_number": "317-859-7220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1704 Lafayette Rd Ste 8",
            "address_purpose": "LOCATION",
            "city": "Crawfordsville",
            "state": "IN",
            "postal_code": "479331071",
            "country_code": "US",
            "telephone_number": "765-359-2088",
            "fax_number": "765-359-2237",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2312 S Dixon Rd Ste 240",
            "address_purpose": "LOCATION",
            "city": "Kokomo",
            "state": "IN",
            "postal_code": "469026401",
            "country_code": "US",
            "telephone_number": "765-455-4075",
            "fax_number": "765-455-4094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UROLOGY OF INDIANA L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-23",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A",
        "authorized_official_last_name": "SUH",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "317-890-2000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VF0040X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ZC0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Cytopathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "urologyin@directaddress.net",
            "affiliation": "Y",
            "affiliationName": "Urology of Indiana L.L.C.",
            "address_1": "679 E County Line Rd",
            "city": "Greenwood",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461431049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenwood, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.