Organization Active NPI

Indiana Clinic - Urology, LLC

  • Urology Physician
  • Indianapolis, IN
National Provider Identifier
1649508466
Registry record updated Sep 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
INDIANA CLINIC - UROLOGY, LLC
Practice address
1801 N Senate Blvd
Ste 220
Indianapolis, IN 46202-1228
Phone
(317) 962-3700
Fax
(317) 962-8800
NPI assigned
Dec 7, 2009
Organization subpart
Yes
Parent organization
INDIANA UNIVERSITY HEALTH CARE ASSOCIATES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 19, 2013

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

Authorized official

Name
Carol Karp
Title
Cfo
Phone
(317) 278-3522

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

1801 N Senate Blvd
Ste 220
Indianapolis, IN 46202-1228

Mailing address

950 N Meridian St
Ste 500
Indianapolis, IN 46204-3908
Phone (317) 962-4942

Other identifiers 1

IdentifierTypeStateIssuer
200984020MedicaidIN

National Provider Directory

National Provider Directory
Part of
Iu Health Care Associates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

5866 Reliable Pkwy
Chicago, IL 60686

11725 Illinois St
Ste 558
Carmel, IN 46032
Phone (317) 688-5500

1720 Lafayette Rd
Ste 2
Crawfordsville, IN 47933
Phone (765) 362-5114

13100 E 136th St
Ste 2000
Fishers, IN 46037
Phone (317) 688-5980

13100 E 136th St
Ste 3600
Fishers, IN 46037
Phone (317) 678-3777

535 Barnhill Dr
#340
Indianapolis, IN 46202

950 N Meridian St
Ste 500
Indianapolis, IN 46204
Phone (317) 962-4941

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1260144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379548800000",
    "number": "1649508466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 N MERIDIAN ST",
            "address_2": "STE 500",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462043908",
            "telephone_number": "317-962-4942",
            "fax_number": "317-962-4950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 N SENATE BLVD",
            "address_2": "STE 220",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462021228",
            "telephone_number": "317-962-3700",
            "fax_number": "317-962-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA CLINIC - UROLOGY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INDIANA UNIVERSITY HEALTH CARE ASSOCIATES, INC.",
        "enumeration_date": "2009-12-07",
        "last_updated": "2013-09-19",
        "status": "A",
        "authorized_official_last_name": "KARP",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "317-278-3522"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200984020",
            "state": "IN"
        }
    ],
    "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 Sep 19, 2013; 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.