Indiana Group LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

INDIANA GROUP LLC

Practice address

4668 Shelby Cir
Greenwood, IN 46143-7428

Phone

(914) 557-8870

Fax

(914) 963-6019

NPI assigned

Jun 10, 2024

Last updated

Jun 10, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ricky Bhimani, MDNPI 1760822365

Title

Owner

Phone

(914) 557-8870

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Practitioners 2

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.

• Ricky Bhimani, M.D.

  • Internal Medicine Physician
  • Brazil, IN
  • NPI 1760822365

  Family Medicine

  Medicare reassignment Care Compare group NPD Authorized official
• Pragneshkumar N Radadiya, MD

  • Family Medicine Physician
  • Indianapolis, IN
  • NPI 1548421985
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717977600000",
    "number": "1689416729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 TIBBETTS RD",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107054622",
            "telephone_number": "914-557-8870",
            "fax_number": "914-963-6019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4668 SHELBY CIR",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461437428",
            "telephone_number": "914-557-8870",
            "fax_number": "914-963-6019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-10",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A",
        "authorized_official_last_name": "BHIMANI",
        "authorized_official_first_name": "RICKY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-557-8870",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Indiana Counselors and Wellness LLC
• Indiana Dialysis Company LLC
• Indiana Eye Clinic, LLC
• Indiana Heart Associates PC
• Indiana Internal Medicine Consultants
• Indiana Internal Medicine Consultants, LLC.
• Indiana Skin Cancer Ambulatory Surgical Center LLC
• Indiana Skin Cancer Center PC

• Family Medicine Physician in Greenwood, IN
• Providers in Greenwood, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.