Active NPI
Ehud Gnessin, M.D.
- Urology Physician
- Indianapolis, IN
National Provider Identifier
1558662403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 35.128997
- Practice address
- 1801 N Senate Blvd Ste 220
Indianapolis, IN 46202-1260 - Phone
- (317) 962-3700
- NPI assigned
- Nov 9, 2010
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 11014697A | IN | |
| Urology Physician | 208800000X | 35.128997 | OH | Primary |
Addresses
Primary practice location
1801 N Senate Blvd Ste 220
Indianapolis, IN 46202-1260
Mailing address
1801 N Senate Blvd Ste 220
Indianapolis, IN 46202-1260
Phone (317) 962-3700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.128997 | OH | MD | Urology Physician |
| 11014697A | IN | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502841600000",
"number": "1558662403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 N SENATE BLVD STE 220",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462021260",
"telephone_number": "317-962-3700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 N SENATE BLVD STE 220",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462021260",
"telephone_number": "317-962-3700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GNESSIN",
"first_name": "EHUD",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-11-09",
"last_updated": "2017-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "IN",
"license": "11014697A",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "OH",
"license": "35.128997",
"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 Aug 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.