Organization Active NPI

Hendricks County Hospital

  • Pediatrics Physician
  • Brownsburg, IN
National Provider Identifier
1508758210
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
HENDRICKS COUNTY HOSPITAL
Practice address
1080 N Green St Ste 200
Brownsburg, IN 46112-2417
Phone
(317) 799-0178
Fax
(317) 799-0180
NPI assigned
Jul 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Heather Rutherford
Title
Credentialing Coordinator
Phone
(317) 837-5566

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

1080 N Green St Ste 200
Brownsburg, IN 46112-2417

Mailing address

1100 Southfield Dr Ste 1370
Plainfield, IN 46168-4300
Phone (317) 837-5566

Other names 1

  • Hendricks Pediatrics of Brownsburg Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040811000309 IN Part B Supplier - Clinic/Group Practice 4880505528 Receives reassigned benefits from 431 practitioners
This NPI is an additional NPI on the enrollment
Practice locations: Brownsburg, IN; Danville, IN; Greencastle, IN; Lizton, IN; Plainfield, IN; Avon, IN; Bainbridge, IN

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
15D2290825Hendricks Pediatrics of Brownsburg1080 N Green Street, Suite 200, Brownsburg, IN 46112Certificate of waiverOct 1, 2027

National Provider Directory

National Provider Directory

Locations

8244 E US Highway 36
Ste 1110
Avon, IN 46123
Phone (317) 272-3640

301 Satori Pkwy
Avon, IN 46123
Phone (317) 272-4186

8244 E US Highway 36
Ste 1270
Avon, IN 46123
Phone (317) 272-4242

8244 E US Highway 36
Ste 200
Avon, IN 46123
Phone (317) 272-2020

7517 Beechwood Centre Rd
Ste 200
Avon, IN 46123
Phone (317) 272-7510

8244 E US Highway 36
Ste 1210
Avon, IN 46123
Phone (317) 272-8272

1411 S Green St
Brownsburg, IN 46112
Phone (317) 852-3600

100 Hospital Ln
Ste 205
Danville, IN 46122
Phone (317) 745-7128

112 Hospital Ln
Ste 200
Danville, IN 46122
Phone (317) 745-3366

112 Hospital Ln
Ste 303
Danville, IN 46122
Phone (317) 718-4000

100 Hospital Ln
Ste 300
Danville, IN 46122
Phone (317) 520-5510

2013 E Main St
Danville, IN 46122
Phone (317) 745-7337

1145 Indianapolis Rd
Greencastle, IN 46135
Phone (765) 653-2710

24 Teke Burton Dr
Mitchell, IN 47446
Phone (812) 849-2221

1100 Southfield Dr
Ste 1130
Plainfield, IN 46168
Phone (317) 838-3430

1042 Oak Dr
Richmond, IN 47374
Phone (765) 766-7788

Practitioners & affiliated clinicians

Practitioners 429

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

View all 429

NPI Registry JSON

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

{
    "created_epoch": "1752710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1508758210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 SOUTHFIELD DR STE 1370",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "461684300",
            "telephone_number": "317-837-5566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 N GREEN ST STE 200",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461122417",
            "telephone_number": "317-799-0178",
            "fax_number": "317-799-0180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENDRICKS COUNTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-17",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "RUTHERFORD",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "317-837-5566"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hendricks Pediatrics of Brownsburg",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brownsburg, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.