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Orthopaedics-Indianapolis, Inc

Organization Active NPI Orthopaedic Surgery Physician · Greenwood, IN

NPI 1609417260 · NPPES record last updated Oct 4, 2019

Key facts

NPI
1609417260
Entity type
Organization (NPI type 2)
Primary specialty
Orthopaedic Surgery Physician 207X00000X
Legal business name
ORTHOPAEDICS-INDIANAPOLIS, INC
Practice address
1579 Olive Branch Parke Lane
Suite 130
Greenwood, IN 46143
Phone
(317) 884-5111
Fax
(317) 884-5112
NPI assigned
Oct 4, 2019
Organization subpart
No

Authorized official

Name
Anthony Gioia
Title
Chief Financial Officer
Phone
(317) 802-2042

Owned or controlled facilities with NPI records 1

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

Other NPIs with the same Medicare PAC ID 18

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 27

Organizations that report the same tax identification number in the National Provider Directory.

View all 27

Practitioners 358

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

View all 358

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IN

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Orthoindy Hospital
Indianapolis, IN · CCN 150160		 Hospital 5% Or Greater Direct Ownership Interest (69.8%) Aug 1, 2021

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20191210002395 IN DME Supplier - Physician - Orthopedic/Orthopedic Surgery 7416860663 Practice locations: Greenwood, IN

National Provider Directory

Tax ID family
Orthopaedics-Indianapolis I (28 organizations share this tax ID)

Locations

1579 Olive Branch Parke Ln
Ste 130
Greenwood, IN 46143
Phone (317) 884-5111

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 207X00000X Yes

Addresses

Primary practice location

1579 Olive Branch Parke Lane
Suite 130
Greenwood, IN 46143

Mailing address

8450 Northwest Blvd
Indianapolis, IN 46278-1381
Phone (317) 802-2000

Other identifiers

IdentifierTypeStateIssuer
1000047900MedicaidIN

Other names

  • OrthoIndy Doing business as

Other providers in Greenwood, IN

All providers in Greenwood, IN · Orthopaedic Surgery Physician in Indiana

Sources for this page

Verify at the official NPI Registry.