Andrew W Alden, MD
Individual provider Active NPI Anesthesiology Physician · Indianapolis, IN
NPI 1609858737 · NPPES record last updated Dec 1, 2009
Key facts
- NPI
- 1609858737
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 01059238 (IN)
- Practice address
- 2001 W 86TH St
Indianapolis, IN 46260-1902 - Phone
- (317) 567-2180
- Fax
- (317) 567-2191
- NPI assigned
- Nov 15, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- Indiana University School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northside Anesthesia Services, LLC
Practice addresses (Care Compare)
2001 W 86TH St
Indianapolis, IN 46260-1902
Phone (317) 338-2345
Hospital & facility affiliations
- Ascension St Vincent Carmel
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050815000529 | IN | Practitioner - Anesthesiology | 8729018205 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01059238 | IN | MD | Anesthesiology Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 01059238 | IN | Yes |
Addresses
Primary practice location
2001 W 86TH St
Indianapolis, IN 46260-1902
Mailing address
PO Box 7232
Dept 165
Indianapolis, IN 46207-7232
Phone (317) 567-2180
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200499210 | Medicaid | IN |
Other providers in Indianapolis, IN
- Rana Alcheikh
- Lauren Michelle Alcorn
- Aldad Medical PC
- Fadia T Aldahan
- Melissa S. Aldana Hermann
- Alexandra Alderdice
- Anne Alderfer
- Alexandra Alderson
- Christen Alderson
- Aldrich Pediatric Dentistry
All providers in Indianapolis, IN · Anesthesiology 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 Dec 1, 2009. 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.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.