NPIMap

Organization Active NPI

Indiana Neurology and Pain Center LLC

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Indianapolis, IN
National Provider Identifier
1639738636
Registry record updated Jul 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084P2900X
Legal business name
INDIANA NEUROLOGY AND PAIN CENTER LLC
Practice address
7430 N Shadeland Ave Ste 230
Indianapolis, IN 46250-2036
Phone
(317) 939-6100
NPI assigned
Jun 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2019

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

Authorized official

Name
Samiullah KundiNPI 1932249323
Title
Owner
Phone
(317) 939-6100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Psychiatry & Neurology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P2900X Primary

Addresses

Primary practice location

7430 N Shadeland Ave Ste 230
Indianapolis, IN 46250-2036

Mailing address

6920 Parkdale PL Ste 215
Indianapolis, IN 46254-5611

National Provider Directory

National Provider Directory

Locations

7301 N Shadeland Ave
Ste 1A
Indianapolis, IN 46250
Phone (317) 577-1800

7301 N Shadeland Ave
Ste A
Indianapolis, IN 46250
Phone (317) 939-6100

Practitioners & affiliated clinicians

Practitioners 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563408000000",
    "number": "1639738636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6920 PARKDALE PL STE 215",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462545611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7430 N SHADELAND AVE STE 230",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502036",
            "telephone_number": "317-939-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA NEUROLOGY AND PAIN CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-12",
        "last_updated": "2019-07-18",
        "status": "A",
        "authorized_official_last_name": "KUNDI",
        "authorized_official_first_name": "SAMIULLAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-939-6100"
    },
    "taxonomies": [
        {
            "code": "2084P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.