Active NPI
Brian D Hornback, MD
- Anatomic Pathology Physician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology Physician
- License
- 36371
- Practice address
- 2560 N Shadeland Ave Ste a
Indianapolis, IN 46219-1706 - Phone
- (800) 890-6220
- Fax
- (317) 275-8018
- NPI assigned
- Mar 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology Physician | 207ZP0101X | 36371 | KY | Primary |
Addresses
Primary practice location
2560 N Shadeland Ave Ste a
Indianapolis, IN 46219-1706
Mailing address
14275 Midway Rd
Suite 400
Addison, TX 75001-3614
Phone (606) 886-8511
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000355688 | Other | KY | BCBS |
| 220033056 | Other | KY | TRAVELERS |
| 2005014-000 | Medicaid | WV | |
| 64050552 | Medicaid | KY | |
| 2414168 | Medicaid | OH |
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
- Pathology
- Education
- Ohio State University College of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 E Main St
Pathology Dept
Danville, IN 46122-1948
Phone (317) 745-3555
2001 W 86TH St
Indianapolis, IN 46260-1902
Phone (317) 338-2345
395 Westfield Rd
Pathology Department
Noblesville, IN 46060-1425
Phone (800) 890-6220
Hospital & facility affiliations
- Riverview Health
- Orthoindy Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36371 | KY | MD | Anatomic Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ameripath Kentucky Inc | Current | Accepting new patients | |
| Ameripath Kentucky Inc | Past | Accepting new patients | |
| Major Hospital | Past | Accepting new patients | |
| Ameripath Indianapolis PC | Past | Accepting new patients |
Locations
2620 Wilhite Dr
Ste 213
Lexington, KY 40503
Phone (859) 275-1922
989 Medical Park Dr
Maysville, KY 41056
Phone (606) 759-3112
14275 Midway Rd
Ste 400
Addison, TX 75001
Phone (214) 932-8018
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anatomic Pathology & Clinical Pathology Physician
- Indianapolis, IN
- NPI 1942374517
-
- Anatomic Pathology & Clinical Pathology Physician
- Lexington, KY
- NPI 1205808995
-
- Clinical Medical Laboratory
- Indianapolis, IN
- NPI 1316919079
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
-
- Clinical Medical Laboratory
- Cincinnati, OH
- NPI 1740253194
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Special Hospital
- Indianapolis, IN
- NPI 1508979683
-
- General Acute Care Hospital
- Noblesville, IN
- NPI 1700883717
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711670400000",
"number": "1528036043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14275 MIDWAY RD",
"address_2": "SUITE 400",
"city": "ADDISON",
"state": "TX",
"postal_code": "750013614",
"telephone_number": "606-886-8511",
"fax_number": "610-271-4245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2560 N SHADELAND AVE STE A",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462191706",
"telephone_number": "800-890-6220",
"fax_number": "317-275-8018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORNBACK",
"first_name": "BRIAN",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-10",
"last_updated": "2024-03-29",
"certification_date": "2024-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": "KY",
"license": "36371",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "000000355688",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRAVELERS",
"identifier": "220033056",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2005014-000",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64050552",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2414168",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; 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.