NPIMap

Individual provider Active NPI

Pragneshkumar N Radadiya, MD

  • Family Medicine Physician
  • Indianapolis, IN
National Provider Identifier
1548421985
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01069393A Issued in IN
Practice address
1402 E County Line Rd
Indianapolis, IN 46227-0963
Phone
(317) 887-7805
NPI assigned
Jun 18, 2008
Last updated
May 11, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01069393A IN Primary

Addresses

Primary practice location

1402 E County Line Rd
Indianapolis, IN 46227-0963

Mailing address

6626 E 75TH St
Ste 500
Indianapolis, IN 46250-2805

Other identifiers 1

IdentifierTypeStateIssuer
201022010MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110620000655 IN Practitioner - Family PracticePractitioner - Internal MedicinePractitioner - Emergency MedicinePractitioner - Hospitalist 4880886621 Reassigns benefits to 17 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospitalist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Post Acute Care Specialists LLCGroup PAC ID 5698092732, 4 clinicians
Novenza Practice Group IIGroup PAC ID 3678057312, 16 clinicians
Community Physicians of Indiana IncGroup PAC ID 1759416662, 1,569 clinicians
Informe HC Specialists LLCGroup PAC ID 5698184885, 8 clinicians
Indiana Group LLCGroup PAC ID 9234674433, 2 clinicians
Informe Healthcare in LLCGroup PAC ID 9537407770, 14 clinicians

Practice addresses (Care Compare)

1200 N State Rd
135 Greenwood Meadows
Greenwood, IN 46142-1003
Phone (317) 300-2200

1402 E County Line Rd
Indianapolis, IN 46227-0963
Phone (317) 887-7113

2860 Churchman Ave
Indianapolis, IN 46203-4619
Phone (317) 787-3451

4668 Shelby Cir
Greenwood, IN 46143-7428
Phone (914) 954-6984

745 N Swope St
Greenfield, IN 46140-1332
Phone (317) 462-9221

7970 W Jefferson Blvd
Fort Wayne, IN 46804-4140
Phone (414) 242-5868

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Provider Partners Care Management LP Family Medicine CurrentSince Mar 1, 2025 Accepting new patients
Eventus Ecs, Inc Family Medicine CurrentSince Jan 3, 2025 Accepting new patients
Extended Care Specialists, Inc Family Medicine CurrentSince May 1, 2020 Accepting new patients
Sound Physicians of Indiana, LLC Family Medicine CurrentSince Oct 1, 2015 Accepting new patients
Informe HC Specialists, LLC Family Medicine CurrentSince Sep 1, 2023 Accepting new patients
Eventus Wholehealth Midwest Inc Family Medicine CurrentSince Sep 9, 2020 Accepting new patients
Eventus Ecs - Kentucky, PLLC CurrentSince Nov 1, 2025 Accepting new patients
Informe Healthcare LLC CurrentSince Jun 20, 2025 Accepting new patients
Sound Physicians of Indiana, LLC Family Medicine CurrentSince Oct 1, 2015 Accepting new patients
Eventus WH Midwest Care, LLC Family Medicine CurrentSince Dec 16, 2024 Accepting new patients
Novenza Practice Group CurrentSince Apr 6, 2015 Accepting new patients
Community Physicians of Indiana Inc Family Medicine CurrentSince Jan 24, 2017 Accepting new patients
Care Partners California Medical PC CurrentSince Jan 1, 2026 Accepting new patients
Indiana Group LLC Family Medicine CurrentSince May 1, 2025 Accepting new patients
Greenwood Primary Care Aesthetics and Wellness LLC Family Medicine CurrentSince Jul 3, 2023 Accepting new patients
Informe Healthcare in, LLC CurrentSince Jun 29, 2020 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Jan 24, 2017 Accepting new patients
Major Hospital Past Accepting new patients
Reliantmd Telehealth Group PLLC Family Medicine Past Accepting new patients
Cogent Healthcare of Jackson Ms, LLC Family Medicine Past Accepting new patients

Locations (25 of 31)

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

5819 Reliable Pkwy
Chicago, IL 60686

3100 Shawnee Dr S
Bedford, IN 47421
Phone (812) 278-8195

2100 Midway St
Columbus, IN 47201
Phone 3178181240225

621 W Columbia St
Evansville, IN 47710
Phone (812) 428-5678

3512 Stellhorn Rd
Fort Wayne, IN 46815

7970 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 435-2607

353 Tyler St
Gary, IN 46402
Phone (219) 886-7070

745 N Swope St
Greenfield, IN 46140
Phone (317) 462-9221

950 N Lakeview Dr
Greensburg, IN 47240
Phone (812) 662-7778

1200 N State Road 135
Greenwood, IN 46142
Phone (317) 300-2200

918 Fry Rd
Ste C
Greenwood, IN 46142
Phone (317) 800-6980

150 W Market St
Ste 400
Indianapolis, IN 46204

2860 Churchman Ave
Indianapolis, IN 46203
Phone (317) 787-3451

3630 Guion Rd
Indianapolis, IN 46222
Phone (317) 920-7170

3815 River Crossing Pkwy
Ste 100
Indianapolis, IN 46240
Phone (317) 566-2035

4851 Tincher Rd
Indianapolis, IN 46221
Phone (317) 856-4851

6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547

7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444

9465 Counselors Row
Ste 200
Indianapolis, IN 46240
Phone (463) 220-4646

8398 Mississippi St
Fl 2
Merrillville, IN 46410

8800 Virginia Pl
Merrillville, IN 46410
Phone (219) 736-1310

5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443

1201 Daly Dr
New Haven, IN 46774
Phone (219) 749-0413

17475 Dugdale Dr
South Bend, IN 46635
Phone (574) 247-7500

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DIFJDD
  • Direct secure messaging: pradadiya31214@ecommunitydirect.com

Ownership & related parties

All facility ownership & control disclosures 17

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Willows of GreensburgGreensburg, IN, CCN 155210 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jul 1, 2023
Jan 20, 2025
Willows of ShelbyvilleShelbyville, IN, CCN 155022 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jul 1, 2023
Jul 1, 2023
Hawthorne Healthcare CenterIndianapolis, IN, CCN 155780 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jul 12, 2019
Jan 5, 2026
Majestic Care of McCordsvilleMcCordsville, IN, CCN 155570 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Nov 28, 2022
Nov 28, 2022
Caroleton Healthcare CenterConnersville, IN, CCN 155387 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jul 12, 2019
Jul 28, 2025
Majestic Care of South BendSouth Bend, IN, CCN 155219 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Nov 28, 2022
Nov 28, 2022
Greenwood Healthcare CenterGreenwood, IN, CCN 155193 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Sep 1, 2017
Jul 30, 2025
Greenfield Healthcare CenterGreenfield, IN, CCN 155188 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Sep 1, 2021
Jun 2, 2025
Silver Memories Health CareVersailles, IN, CCN 155847 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Nov 1, 2020
Nov 1, 2020
Majestic Care of ConnersvilleConnersville, IN, CCN 155491 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2025
Jan 1, 2025
Aperion Care MonroeBloomington, IN, CCN 155532 Skilled nursing facility Contracted Managing Employee (100%) Mar 1, 2024
Mitchell ManorMitchell, IN, CCN 155324 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jun 15, 2019
Jun 15, 2019
Rensselaer Care CenterRensselaer, IN, CCN 155287 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Dec 1, 2023
Dec 1, 2023
Shady Nook Care CenterLawrenceburg, IN, CCN 155525 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Nov 1, 2020
Nov 1, 2020
Manderley Health Care CenterOsgood, IN, CCN 155728 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jun 1, 2023
Jun 1, 2023
Compassus-Indianapolis MetroIndianapolis, IN, CCN 151507 Hospice Contracted Managing Employee Jul 1, 2025
Aaron-Ruben-Nelson HospiceIndianapolis, IN, CCN 151646 Hospice Contracted Managing Employee Oct 27, 2021

Owned or controlled facilities with NPI records 17

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 17

Organizations & group practices 22

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 22

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494460800000",
    "number": "1548421985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6626 E 75TH ST",
            "address_2": "STE 500",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 E COUNTY LINE RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462270963",
            "telephone_number": "317-887-7805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADADIYA",
        "first_name": "PRAGNESHKUMAR",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-18",
        "last_updated": "2017-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01069393A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201022010",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.