NPIMap

Organization Active NPI

Central Indiana Vascular Care, LLC.

  • Vascular & Interventional Radiology Physician
  • Greenwood, IN
National Provider Identifier
1659984870
Registry record updated Sep 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
Legal business name
CENTRAL INDIANA VASCULAR CARE, LLC.
Practice address
853 N Emerson Ave Ste F
Greenwood, IN 46143-5676
Phone
(317) 868-7979
NPI assigned
Aug 27, 2020
Last updated
Sep 8, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2020

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

Authorized official

Name
Karri King
Title
Official
Phone
(727) 214-0462

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0204X Primary
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

853 N Emerson Ave Ste F
Greenwood, IN 46143-5676

Mailing address

853 N Emerson Ave Ste F
Greenwood, IN 46143-5676
Phone (317) 868-7979

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D2207553Central Indiana Vascular Care, LLC853 N Emerson Ave Suite F, Greenwood, IN 46143Certificate of waiverDec 28, 2026

National Provider Directory

National Provider Directory

Locations

853 N Emerson Ave
Ste F
Greenwood, IN 46143
Phone (317) 868-7979

1310 N Main St
Rushville, IN 46173
Phone (765) 932-7075

Practitioners & affiliated clinicians

Practitioners 10

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": "1598486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599523200000",
    "number": "1659984870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "853 N EMERSON AVE STE F",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461435676",
            "telephone_number": "317-868-7979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "853 N EMERSON AVE STE F",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461435676",
            "telephone_number": "317-868-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL INDIANA VASCULAR CARE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-27",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "KARRI",
        "authorized_official_title_or_position": "OFFICIAL",
        "authorized_official_telephone_number": "727-214-0462"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.