NPIMap

Organization Active NPI

Indiana University School of Medicine

  • Anesthesiology Physician
  • Indianapolis, IN
National Provider Identifier
1689831174
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
01063910A Issued in IN
Legal business name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Practice address
1120 South Dr
Indianapolis, IN 46202-5135
Phone
(317) 274-0275
NPI assigned
May 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Authorized official

Name
Peter Nalin
Title
Associate Dean for Gme
Phone
(317) 274-8282

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X 01063910A IN Primary

Addresses

Primary practice location

1120 South Dr
Indianapolis, IN 46202-5135

Mailing address

1120 South Dr
Indianapolis, IN 46202-5135

National Provider Directory

National Provider Directory

Locations

1130 W Michigan St
Indianapolis, IN 46202
Phone (317) 274-0076

NPI Registry JSON

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1689831174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 SOUTH DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462025135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 SOUTH DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462025135",
            "telephone_number": "317-274-0275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA UNIVERSITY SCHOOL OF MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "NALIN",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "ASSOCIATE DEAN FOR GME",
        "authorized_official_telephone_number": "317-274-8282"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "01063910A",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 21, 2008; 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.