Robert D Aiello, MD
Individual provider Active NPI Family Medicine Physician · Avon, IN
NPI 1689673402 · NPPES record last updated Nov 29, 2011
Key facts
- NPI
- 1689673402
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 01032548 (IN)
- Practice address
- 8244 E US Highway 36
Suite 1100
Avon, IN 46123-9575 - Phone
- (317) 272-7500
- Fax
- (317) 272-7515
- NPI assigned
- Jul 14, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hendricks County Hospital | Family Medicine | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01032548 | IN | Yes |
Addresses
Primary practice location
8244 E US Highway 36
Suite 1100
Avon, IN 46123-9575
Mailing address
8244 E US Highway 36
Suite 1100
Avon, IN 46123-9575
Phone (317) 272-7500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100133460 | Medicaid | IN |
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All providers in Avon, IN · Family Medicine Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 29, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.