Organization Active NPI

Ali M Dohan MD Inc

  • Internal Medicine Physician
  • Indianapolis, IN
National Provider Identifier
1679770705
Registry record updated Sep 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ALI M DOHAN MD INC
Practice address
1250 E County Line Rd
Suite 8
Indianapolis, IN 46227-0989
Phone
(317) 602-1400
NPI assigned
Jul 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2016

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

Authorized official

Name
Mrs. Zahra Dohan
Title
Office Manager
Phone
(317) 887-7675

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X IN Primary

Addresses

Primary practice location

1250 E County Line Rd
Suite 8
Indianapolis, IN 46227-0989

Mailing address

1250 E County Line Rd
Suite 8
Indianapolis, IN 46227-0989
Phone (317) 602-1400

Other names 1

  • Greenwood Internal Medicine Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050215000699 IN Part B Supplier - Clinic/Group Practice 9931151248 Receives reassigned benefits from 1 practitioner
Practice locations: Greenwood, IN

National Provider Directory

National Provider Directory

Locations

710 Executive Park Dr
Ste 12
Greenwood, IN 46143
Phone (317) 602-1400

8511 Madison Ave
Ste 106
Indianapolis, IN 46227
Phone (317) 602-1400

1350 E County Line Rd
Ste C
Indianapolis, IN 46227
Phone (317) 887-7675

1250 E County Line Rd
Ste 8
Indianapolis, IN 46227
Phone (317) 602-1400

8511 Madison Ave
Ste 1
Indianapolis, IN 46227
Phone (317) 602-1400

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472774400000",
    "number": "1679770705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 E COUNTY LINE RD",
            "address_2": "SUITE 8",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462270989",
            "telephone_number": "317-602-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 E COUNTY LINE RD",
            "address_2": "SUITE 8",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462270989",
            "telephone_number": "317-602-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALI M DOHAN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-02",
        "last_updated": "2016-09-02",
        "status": "A",
        "authorized_official_last_name": "DOHAN",
        "authorized_official_first_name": "ZAHRA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "317-887-7675",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greenwood Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 2, 2016; 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.