Organization Active NPI

Comprehensive OBGYN Inc

  • Obstetrics & Gynecology Physician
  • Indianapolis, IN
National Provider Identifier
1497736631
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
COMPREHENSIVE OBGYN INC
Practice address
2020 W 86TH St
Suite 305
Indianapolis, IN 46260-1969
Phone
(317) 334-1692
Fax
(317) 334-1693
NPI assigned
Nov 5, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Bennett B Desadier, MD
Title
Pres
Phone
(317) 334-1692

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

2020 W 86TH St
Suite 305
Indianapolis, IN 46260-1969

Mailing address

2020 W 86TH St
Suite 305
Indianapolis, IN 46260-1969
Phone (317) 334-1692

National Provider Directory

National Provider Directory

Locations

2020 W 86th St
Ste 305
Indianapolis, IN 46260
Phone (317) 334-1692

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1131148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497736631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 W 86TH ST",
            "address_2": "SUITE 305",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601969",
            "telephone_number": "317-334-1692",
            "fax_number": "317-334-1693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 W 86TH ST",
            "address_2": "SUITE 305",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601969",
            "telephone_number": "317-334-1692",
            "fax_number": "317-334-1693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE OBGYN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DESADIER",
        "authorized_official_first_name": "BENNETT",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "317-334-1692",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "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 Aug 22, 2020; 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.