Individual provider Active NPI

Radharani Eluri, M.D.,

  • Family Medicine Physician
  • Fishers, IN
National Provider Identifier
1689892143
Registry record updated Jun 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01080857A Issued in IN
Practice address
9894 E 121St St
Fishers, IN 46037
Phone
(317) 621-6060
Fax
(317) 355-6965
NPI assigned
Apr 23, 2007
Last updated
Jun 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA08291500 NJ
Family Medicine Physician 207Q00000X MD430114 PA
Family Medicine Physician 207Q00000X 01080857A IN Primary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 25MA08291500 NJ

Addresses

Primary practice location

9894 E 121St St
Fishers, IN 46037

Mailing address

6626 E 75TH St Ste 500
Indianapolis, IN 46250-2890

Other practice location 1

902 Jacksonville Rd
Burlington, NJ 08016-3846
Phone (609) 239-3900 ext. 3668

Other practice location 2

9669 E 146th St Ste 250
Noblesville, IN 46060-5006
Phone (317) 621-4657

Other identifiers 1

IdentifierTypeStateIssuer
300016625MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180801002739 IN Practitioner - Geriatric MedicinePractitioner - Internal MedicinePractitioner - Family Practice 4587735832 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA08291500NJMDFamily Medicine Physician
MD430114PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Physicians of Indiana Inc Family Medicine CurrentSince Aug 27, 2018 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Aug 27, 2018 Accepting new patients
Hunterdon Medical Center Family Medicine Past Accepting new patients

Locations

5819 Reliable Pkwy
Chicago, IL 60686

9894 E 121st St
Fishers, IN 46037
Phone (317) 621-2273

6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547

7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444

9669 E 146th St
Ste 250
Noblesville, IN 46060
Phone (317) 621-4657

Interoperability endpoints

  • Direct secure messaging: reluri321055@ecommunitydirect.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1689892143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6626 E 75TH ST STE 500",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9894 E 121ST ST",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "46037",
            "telephone_number": "317-621-6060",
            "fax_number": "317-355-6965"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "902 Jacksonville Rd",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "NJ",
            "postal_code": "080163846",
            "country_code": "US",
            "telephone_number": "609-239-3900 x3668",
            "fax_number": "609-239-3808",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9669 E 146th St Ste 250",
            "address_purpose": "LOCATION",
            "city": "Noblesville",
            "state": "IN",
            "postal_code": "460605006",
            "country_code": "US",
            "telephone_number": "317-621-4657",
            "fax_number": "317-355-8750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELURI",
        "first_name": "RADHARANI",
        "name_prefix": "Dr.",
        "credential": "M.D.,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA08291500",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD430114",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01080857A",
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NJ",
            "license": "25MA08291500",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300016625",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

Verify at the official NPI Registry.