Carlos Omar Acevedo Arus
Individual provider Active NPI Family Medicine Physician · Beech Grove, IN
NPI 1508313701 · NPPES record last updated Jul 19, 2023
Key facts
- NPI
- 1508313701
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 01089473A (IN)
- Practice address
- 2030 Churchman Ave
Beech Grove, IN 46107-1044 - Phone
- (317) 786-9285
- Fax
- (317) 781-2793
- NPI assigned
- Sep 6, 2016
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Franciscan Physician Network
Practice addresses (Care Compare)
2030 Churchman Ave
Beech Grove, IN 46107-1044
Phone (317) 781-7342
Hospital & facility affiliations
- Franciscan VNS Home Care, Inc
- Franciscan Health Indianapolis
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230720003525 | IN | Practitioner - Family Practice | 7810310653 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01089473A | IN | MD | Family Medicine Physician |
| 4956520 | PR | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franciscan Physician Network | Current |
Accepting new patients | |
| Franciscan Physician Network | Family Medicine | Current |
Accepting new patients |
| Major Hospital | Past | Accepting new patients |
Locations
2030 Churchman Ave
Beech Grove, IN 46107
Phone (317) 781-2100
1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120
150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211
Interoperability endpoints
- carlos.acevedoarus@hca4.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 4956520 | PR | |
| Family Medicine Physician | 207Q00000X | 01089473A | IN | Yes |
Addresses
Primary practice location
2030 Churchman Ave
Beech Grove, IN 46107-1044
Mailing address
PO Box 781076 College Park
Detroit, MI 48278-0001
Phone (317) 528-4800
Other practice location 1
216 Calle Viena
San Juan, PR 00921-4804
Phone (787) 647-4605
Other names
- Carlos Omar Acevedo
Other providers in Beech Grove, IN
- Accurate Hearing Centers Inc
- Adams County Memorial Hospital
- David Aguilar
- Tanna D Albin
- Nicole Anne Magsambol Apa
- Art of the Heart LLC
All providers in Beech Grove, IN · Family Medicine Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 19, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.