Active NPI
James Charles Houdek
- Nurse Practitioner
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 71014022A
- Practice address
- 5330 E Stop 11 Rd
Indianapolis, IN 46237-6345 - Phone
- (317) 893-1900
- Fax
- (317) 893-1901
- NPI assigned
- Jan 17, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 28165532A | IN | |
| Nurse Practitioner | 363L00000X | 71014022A | IN | Primary |
Addresses
Primary practice location
5330 E Stop 11 Rd
Indianapolis, IN 46237-6345
Mailing address
PO Box 781076
Detroit, MI 48278-1970
Phone (317) 528-4800
Other practice location 1
1066 E. King Street
Franklin, IN 46131
Phone (317) 441-9858
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5330 E Stop 11 Rd
Indianapolis, IN 46237-6345
Phone (317) 893-1900
Hospital & facility affiliations
- Franciscan VNS Home Care, Inc
- Franciscan Health Indianapolis
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28165532A | IN | MD | Registered Nurse |
| 71014022A | IN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franciscan Physician Network | Current | Accepting new patients | |
| Franciscan Physician Network | Current | Accepting new patients | |
| Major Hospital | Past | Accepting new patients |
Locations
1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120
720 N Lincoln St
Greensburg, IN 47240
Phone (812) 522-2349
8325 E Southport Rd
Ste 100
Indianapolis, IN 46259
Phone (317) 862-6609
5330 E Stop 11 Rd
Indianapolis, IN 46237
Phone (317) 893-1920
150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211
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 and National Provider Directory roles.
-
- 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.
-
- General Acute Care Hospital
- Carmel, IN
- NPI 1376214981
-
- 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": "1673913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689120000000",
"number": "1528773256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 781076",
"city": "DETROIT",
"state": "MI",
"postal_code": "482781970",
"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": "5330 E STOP 11 RD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462376345",
"telephone_number": "317-893-1900",
"fax_number": "317-893-1901"
}
],
"practiceLocations": [
{
"address_1": "1066 E. King Street",
"address_purpose": "LOCATION",
"city": "Franklin",
"state": "IN",
"postal_code": "46131",
"country_code": "US",
"telephone_number": "317-441-9858",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOUDEK",
"first_name": "JAMES",
"middle_name": "CHARLES",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-01-17",
"last_updated": "2023-07-12",
"certification_date": "2023-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IN",
"license": "28165532A",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "71014022A",
"primary": true
}
],
"identifiers": [],
"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 Jul 12, 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.