NPIMap

Organization Active NPI

In Post Acute Specialists, PC

  • Internal Medicine Physician
  • Saint John, IN
National Provider Identifier
1629584396
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
IN POST ACUTE SPECIALISTS, PC
Practice address
10820 Park PL Ste 1230
Saint John, IN 46373-8630
Phone
(800) 411-6768
NPI assigned
Dec 18, 2017
Last updated
Dec 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Authorized official

Name
Laurel Dotas
Title
Chief Operating Officer
Phone
(352) 215-1603

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X NU
Family Medicine Physician 207Q00000X NU
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

10820 Park PL Ste 1230
Saint John, IN 46373-8630

Mailing address

119 S Western Ave Unit 1
Chicago, IL 60612-4644
Phone (800) 411-6768

Other identifiers 2

IdentifierTypeStateIssuer
01073262AOtherININDIANA LICENSE
300013555MedicaidIN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191018000418 IN Part B Supplier - Clinic/Group Practice 8325379522 Receives reassigned benefits from 60 practitioners
Practice locations: Mishawaka, IN; Morristown, IN; Nashville, IN; New Albany, IN; Noblesville, IN; Paoli, IN; Pendleton, IN; Petersburg, IN…

National Provider Directory

National Provider Directory

Locations

300 Jh Walker Dr
Pendleton, IN 46064
Phone (765) 778-7501

10820 Park Pl
Ste 1230
Saint John, IN 46373

Practitioners & affiliated clinicians

Practitioners 67

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 67

NPI Registry JSON

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

{
    "created_epoch": "1513555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734307200000",
    "number": "1629584396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 S WESTERN AVE UNIT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606124644",
            "telephone_number": "800-411-6768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10820 PARK PL STE 1230",
            "city": "SAINT JOHN",
            "state": "IN",
            "postal_code": "463738630",
            "telephone_number": "800-411-6768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN POST ACUTE SPECIALISTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-18",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A",
        "authorized_official_last_name": "DOTAS",
        "authorized_official_first_name": "LAUREL",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "352-215-1603"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIANA LICENSE",
            "identifier": "01073262A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300013555",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint John, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; 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.