NPIMap

Organization Active NPI

Indiana Orthopaedic Hospital, LLC

Doing business as OrthoIndy Hospital

  • Special Hospital
  • Indianapolis, IN
National Provider Identifier
1508979683
Registry record updated Mar 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Special HospitalTaxonomy code 284300000X
Legal business name
INDIANA ORTHOPAEDIC HOSPITAL, LLC
Doing business as
OrthoIndy Hospital
Practice address
8400 Northwest Blvd
Indianapolis, IN 46278-1381
Phone
(317) 956-1000
Fax
(317) 956-1183
NPI assigned
Aug 16, 2006
Last updated
Mar 29, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2017

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

Authorized official

Name
Anthony Gioia
Title
Cfo
Phone
(317) 802-2042

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Special Hospital 284300000X Primary

Addresses

Primary practice location

8400 Northwest Blvd
Indianapolis, IN 46278-1381

Mailing address

8400 Northwest Blvd
Indianapolis, IN 46278-1381
Phone (317) 956-1000

Other names 1

  • OrthoIndy Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040830000395 IN Part A Provider - Hospital 8628043007 Practice locations: Westfield, IN; Carmel, IN; Indianapolis, IN; Greenwood, IN; Brownsburg, IN; Fishers, IN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1508979683. Details of each certification follow.

Hospital certification: CCN 150160

Legal name
INDIANA ORTHOPAEDIC HOSPITAL, LLC
Doing business as
ORTHOINDY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Mar 23, 2005
Last certification
Dec 17, 2015
Beds
38
Ownership / control type
Physician ownership
Organization structure
LLCProprietary
Incorporated
Oct 18, 2002 in IN
Enrollment address
8400 Northwest Blvd
Indianapolis, IN 46278-1381
Hospital subgroups
Other

Care Compare: Hospital

Medicare Care Compare
Listed as
Orthoindy HospitalCCN 150160 · All quality measures
Type
Acute Care Hospitals
Ownership
Physician
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

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
15D1034472Indiana Orthopaedic Hospital, LLC8400 Northwest Blvd, Indianapolis, IN 46278ComplianceApr 30, 2027
15D1035821Indiana Orthopaedic Hospital Dba Ortho Indy8400 Northwest Blvd, Indianapolis, IN 46278AccreditationFeb 15, 2028
15D1052096Ameripath Indiana/Orthopaedic Hospital Frozen Sec-8400 Northwest Blvd, Indianapolis, IN 46278AccreditationDec 6, 2026

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

9070 E 56th St
#100
Brownsburg, IN 46112

9070 E 56th St
Ste 200
Brownsburg, IN 46112

9070 E 56th St
Ste 300
Brownsburg, IN 46112

805 W Carmel Dr
Carmel, IN 46032
Phone (317) 956-1082

10995 Allisonville Rd
#200
Fishers, IN 46038
Phone (317) 575-2700

10995 Allisonville Rd
Ste 101
Fishers, IN 46038
Phone (317) 845-9628

10995 Allisonville Rd
Ste 200
Fishers, IN 46038
Phone (317) 956-1280

1260 Innovation Pkwy
Ste 100
Greenwood, IN 46143
Phone (317) 884-5200

1260 Innovation Pkwy
Ste 135
Greenwood, IN 46143
Phone (317) 884-5140

1579 Olive Branch Parke Ln
#1
Greenwood, IN 46143

1579 Olive Branch Parke Ln
Ste 100
Greenwood, IN 46143
Phone (317) 884-5113

246 E 175th St
Westfield, IN 46074
Phone (317) 275-6116

288 E 175th St
Westfield, IN 46074
Phone (317) 275-6140

288 E 175th St
Ste 200
Westfield, IN 46074
Phone (317) 275-6131

288 E 175th St
Ste 200300
Westfield, IN 46074
Phone (317) 275-6140

288 E 175th St
Ste 300
Westfield, IN 46074

Ownership & related parties

All disclosed owners & managing parties 10

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
John Ryan Individual W-2 Managing EmployeeCeo Jan 1, 2022
Anthony Gioia Individual W-2 Managing Employee Jan 1, 2013
Corey Blaine Kendall Individual Corporate Officer Feb 1, 2017 1.55%
Apm Holdings LLC Organization, Indianapolis, IN LLC, Medical provider/supplier, For-profit 5% Or Greater Direct Ownership Interest Aug 1, 2021 5.24%
Renn Jerome Crichlow Individual Corporate OfficerBoard Secretary Jan 1, 2013 1.55%
Mihir M Patel Individual Corporate OfficerBoard Treasurer Jan 1, 2013 1.55%
Edward Jay Hellman Individual Corporate OfficerPresident Apr 1, 2021 1.55%
St. Vincent Hospital & Health Care Center Inc Organization, Indianapolis, IN Corporation 5% Or Greater Direct Ownership Interest Jun 1, 2018 20%
Orthopaedics-Indianapolis Inc Organization, Indianapolis, IN Corporation, Medical provider/supplier, For-profit 5% Or Greater Direct Ownership Interest Aug 1, 2021 69.8%
Ioh Class B Unit Irrevocable Trust Organization, Indianapolis, IN Other Jun 30, 2018 1.58%

Owners & managing parties with NPI records 26

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 26

Practitioners & affiliated clinicians

Practitioners 33

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 33

Affiliated clinicians 208

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 208

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490745600000",
    "number": "1508979683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8400 NORTHWEST BLVD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462781381",
            "telephone_number": "317-956-1000",
            "fax_number": "317-956-1183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8400 NORTHWEST BLVD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462781381",
            "telephone_number": "317-956-1000",
            "fax_number": "317-956-1183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA ORTHOPAEDIC HOSPITAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2017-03-29",
        "status": "A",
        "authorized_official_last_name": "GIOIA",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "317-802-2042"
    },
    "taxonomies": [
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OrthoIndy Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.