Organization Active NPI

Novenza Practice Group

  • Internal Medicine Physician
  • Indianapolis, IN
National Provider Identifier
1609268259
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
NOVENZA PRACTICE GROUP
Practice address
5224 S East St
Suite 9
Indianapolis, IN 46227-1985
Phone
(317) 781-3604
Fax
(317) 780-3353
NPI assigned
Feb 19, 2015
Last updated
Feb 11, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

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

Authorized official

Name
Sara Sparks
Title
Cfo
Phone
(812) 798-5688

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

5224 S East St
Suite 9
Indianapolis, IN 46227-1985

Mailing address

PO Box 773463
Detroit, MI 48277-3140

Other identifiers 2

IdentifierTypeStateIssuer
201291940AMedicaidIN
DV6439OtherINRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150330000164 IN Part B Supplier - Clinic/Group Practice 5698092732 Receives reassigned benefits from 21 practitioners
Practice locations: Mooresville, IN; Indianapolis, IN; Greenwood, IN; Carmel, IN

National Provider Directory

National Provider Directory

Locations

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

377 Westridge Blvd
Greenwood, IN 46142
Phone (317) 888-4948

70 E Main St
Ste C
Greenwood, IN 46143
Phone (317) 969-7227

5224 S East St
Ste 1
Indianapolis, IN 46227

5224 S East St
Ste 9
Indianapolis, IN 46227
Phone (317) 781-3604

5224 S East St
Ste C1
Indianapolis, IN 46227

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DIFJDD

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1424304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770768000000",
    "number": "1609268259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 773463",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482773140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5224 S EAST ST",
            "address_2": "SUITE 9",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462271985",
            "telephone_number": "317-781-3604",
            "fax_number": "317-780-3353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVENZA PRACTICE GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-19",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A",
        "authorized_official_last_name": "SPARKS",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "812-798-5688"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201291940A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DV6439",
            "state": "IN"
        }
    ],
    "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 Feb 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.