Active NPI
Ifeyinwa R Nzerem
- Contractor
- Anderson, IN
National Provider Identifier
1710175823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 31004264A
- Practice address
- 714 W 53Rd St
Suite a
Anderson, IN 46013-1514 - Phone
- (765) 683-0633
- Fax
- (765) 683-0603
- NPI assigned
- Oct 15, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 31004264A | IN | Primary |
Addresses
Primary practice location
714 W 53Rd St
Suite a
Anderson, IN 46013-1514
Mailing address
12756 Parsons Gate
Carmel, IN 46032-7360
Phone (317) 748-4032
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31004264A | IN | MD | Contractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comfort Healthcare Therapy LLC | Current | Accepting new patients |
Locations
714 W 53rd St
Ste A
Anderson, IN 46013
Phone (765) 683-0633
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Anderson, IN
- NPI 1972855336
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741305600000",
"number": "1710175823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12756 PARSONS GATE",
"city": "CARMEL",
"state": "IN",
"postal_code": "460327360",
"telephone_number": "317-748-4032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "714 W 53RD ST",
"address_2": "SUITE A",
"city": "ANDERSON",
"state": "IN",
"postal_code": "460131514",
"telephone_number": "765-683-0633",
"fax_number": "765-683-0603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NZEREM",
"first_name": "IFEYINWA",
"middle_name": "R",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-15",
"last_updated": "2025-03-07",
"certification_date": "2025-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "IN",
"license": "31004264A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anderson, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.