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Indiana Orthopaedic Hospital, LLC

Organization Active NPI Special Hospital · Indianapolis, IN

NPI 1508979683 · NPPES record last updated Mar 29, 2017

Key facts

NPI
1508979683
Entity type
Organization (NPI type 2)
Primary specialty
Special Hospital 284300000X
Legal business name
INDIANA ORTHOPAEDIC HOSPITAL, LLC
Practice address
8400 Northwest Blvd
Indianapolis, IN 46278-1381
Phone
(317) 956-1000
Fax
(317) 956-1183
NPI assigned
Aug 16, 2006
Organization subpart
No

Authorized official

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

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

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.

Practitioners 33

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

View all 33

Affiliated clinicians 208

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

View all 208

Medicare Care Compare: Hospital

Listed as
Orthoindy Hospital CCN 150160
Type
Acute Care Hospitals
Ownership
Physician
Medicare certification status
Active (Provider of Services file)
Emergency services
No

Source: Medicare Care Compare.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IN

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
LLC · Proprietary
Incorporated
Oct 18, 2002 in IN
Enrollment address
8400 Northwest Blvd
Indianapolis, IN 46278-1381
Hospital subgroups
Other

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 Employee
Ceo		 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 Officer
Board Secretary		 Jan 1, 2013 1.55%
Mihir M Patel
Individual 		Corporate Officer
Board Treasurer		 Jan 1, 2013 1.55%
Edward Jay Hellman
Individual 		Corporate Officer
President		 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%

Medicare enrollment records

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

National Provider Directory

Locations

9070 E 56th St
Ste 200
Brownsburg, IN 46112

9070 E 56th St
Ste 300
Brownsburg, IN 46112

9070 E 56th St
Brownsburg, IN 46112
Phone (317) 268-3600

9070 E 56th St
#100
Brownsburg, IN 46112

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

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

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

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

1260 Innovation Pkwy
Ste 150
Greenwood, IN 46143
Phone (317) 884-5140

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

1260 Innovation Pkwy
Ste 135
Greenwood, IN 46143
Phone (317) 884-5200

1579 Olive Branch Parke Ln
#1
Greenwood, IN 46143

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

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

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

288 E 175th St
Ste 300
Westfield, IN 46074

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

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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Special Hospital 284300000X Yes

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 identifiers

IdentifierTypeStateIssuer
200518770MedicaidIN

Other names

  • OrthoIndy Hospital Doing business as

Other providers in Indianapolis, IN

All providers in Indianapolis, IN · Special Hospital in Indiana

Sources for this page

Verify at the official NPI Registry.