Active NPI
Carlos Omar Acevedo Arus
- Family Medicine Physician
- Beech Grove, IN
National Provider Identifier
1508313701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01089473A
- Practice address
- 2030 Churchman Ave
Beech Grove, IN 46107-1044 - Phone
- (317) 786-9285
- Fax
- (317) 781-2793
- NPI assigned
- Sep 6, 2016
- Last updated
- Jul 19, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 4956520 | PR | |
| Family Medicine Physician | 207Q00000X | 01089473A | IN | Primary |
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 1
- Carlos Omar Acevedo
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2030 Churchman Ave
Beech Grove, IN 46107-1044
Phone (317) 781-7342
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4956520 | PR | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franciscan Physician Network | Family Medicine | Current | Accepting new patients |
| Franciscan Physician Network | 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
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1225327984
-
- Clinic/Center
- Lafayette, IN
- NPI 1992543250
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Franciscan Health Indianapolis Orthopedic Hospital
- General Acute Care Hospital
- Carmel, IN
- NPI 1376214981
-
dba Franciscan Health - Indianapolis
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1386749893
-
- Home Health Agency
- Beech Grove, IN
- NPI 1649276551
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689724800000",
"number": "1508313701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 781076 COLLEGE PARK",
"city": "DETROIT",
"state": "MI",
"postal_code": "482780001",
"telephone_number": "317-528-4800",
"fax_number": "317-865-1479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2030 CHURCHMAN AVE",
"city": "BEECH GROVE",
"state": "IN",
"postal_code": "461071044",
"telephone_number": "317-786-9285",
"fax_number": "317-781-2793"
}
],
"practiceLocations": [
{
"address_1": "216 Calle Viena",
"address_purpose": "LOCATION",
"city": "San Juan",
"state": "PR",
"postal_code": "009214804",
"country_code": "US",
"telephone_number": "787-647-4605",
"fax_number": "787-963-0464",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ACEVEDO ARUS",
"first_name": "CARLOS",
"middle_name": "OMAR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-09-06",
"last_updated": "2023-07-19",
"certification_date": "2023-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "PR",
"license": "4956520",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01089473A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CARLOS",
"last_name": "ACEVEDO",
"middle_name": "OMAR",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Beech Grove, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.