Novenza Practice Group
Organization Active NPI Internal Medicine Physician · Indianapolis, IN
NPI 1609268259 · NPPES record last updated Feb 11, 2026
Key facts
- NPI
- 1609268259
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 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
- Organization subpart
- No
Authorized official
- Name
- Sara Sparks
- Title
- Cfo
- Phone
- (812) 798-5688
Practitioners 21
-
Kevin D Neese, MD
-
Charles M Janssens, D.O.
-
Michelle Renee Killian, AGACNP
-
Ricky Bhimani, M.D.
-
Dannielle Christine Gilyan, FNP-C, RN, MSN
-
Cortney Hendress, NP-C
-
Anand Patel, MD
-
Andrew P. Roberts, M.D.
-
Jane F Paino, MD
-
John E Albrecht, M.D.
-
Kelly J. Anderson, RN, FNP-C
-
Steven J Delee, DO
-
Mallory Christine Larsen, PA-C
-
Jose Lopez, MD
-
Thomas Edwin Puckett Jr., N.P.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
Locations
3154 S State Road 135
Greenwood, IN 46143
Phone (317) 530-1617
70 E Main St
Ste C
Greenwood, IN 46143
Phone (317) 969-7227
5224 S East St
Ste 9
Indianapolis, IN 46227
Phone (317) 781-3604
5224 S East St
Ste 1
Indianapolis, IN 46227
5224 S East St
Ste C1
Indianapolis, IN 46227
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DIFJDD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DV6439 | Other | IN | RAILROAD MEDICARE |
| 201291940A | Medicaid | IN |
Other providers in Indianapolis, IN
- Novak Counseling, LLC
- Novak Health and Wellness LLC
- Joel N. Novak
- Christiaan S Noval
- Dana Nove
- Holli Novinger
- Vanessa Lynn Novinger
- Craig M. Novy
- Brittany R Nowak
- Jessica Lynn Nowak
All providers in Indianapolis, IN · Internal Medicine Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 11, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.