NPIMap

Organization Active NPI

Indiana University Medical Center

  • Special Hospital
  • Indianapolis, IN
National Provider Identifier
1538460191
Registry record updated Nov 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Special HospitalTaxonomy code 284300000X
License
11015282A Issued in IN
Legal business name
INDIANA UNIVERSITY MEDICAL CENTER
Practice address
927 Paca St
Indianapolis, IN 46202-2914
Phone
(317) 625-0710
NPI assigned
Nov 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2010

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

Authorized official

Name
Dr. Damien M.Y Tan, MD
Title
Ercp Fellow
Phone
(317) 625-0710

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Special Hospital 284300000X 11015282A IN Primary

Addresses

Primary practice location

927 Paca St
Indianapolis, IN 46202-2914

Mailing address

927 Paca St
Indianapolis, IN 46202-2914
Phone (317) 625-0710

Other names 1

  • Indiana University Hospital Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1289520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289520000000",
    "number": "1538460191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 PACA ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462022914",
            "telephone_number": "317-625-0710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 PACA ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462022914",
            "telephone_number": "317-625-0710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA UNIVERSITY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-12",
        "last_updated": "2010-11-12",
        "status": "A",
        "authorized_official_last_name": "TAN",
        "authorized_official_first_name": "DAMIEN",
        "authorized_official_middle_name": "M.Y",
        "authorized_official_title_or_position": "ERCP FELLOW",
        "authorized_official_telephone_number": "317-625-0710",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": "IN",
            "license": "11015282A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Indiana University Hospital",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Nov 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.