Indianapolis Perioperative Medicine

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

10002130A Issued in IN

Legal business name

INDIANAPOLIS PERIOPERATIVE MEDICINE

Practice address

13000 E 136TH St
Ste. 1100
Fishers, IN 46037-9478

Phone

(317) 513-0538

NPI assigned

Oct 21, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Peter Caccavallo, M.D.NPI 1205987252

Title

Internal Medicine Physician

Phone

(317) 513-0538

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Peter Caccavallo

  • Internal Medicine Physician
  • Fishers, IN
  • NPI 1205987252
  NPD Authorized official

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

{
    "created_epoch": "1477008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477008000000",
    "number": "1720539075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13000 E 136TH ST",
            "address_2": "STE. 1100",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460379478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13000 E 136TH ST",
            "address_2": "STE. 1100",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460379478",
            "telephone_number": "317-513-0538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANAPOLIS PERIOPERATIVE MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-21",
        "last_updated": "2016-10-21",
        "status": "A",
        "authorized_official_last_name": "CACCAVALLO",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "INTERNAL MEDICINE PHYSICIAN",
        "authorized_official_telephone_number": "317-513-0538",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "IN",
            "license": "10002130A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Indiana Spine Group, PC
• Indiana University Health Ambulatory Surgery Centers, LLC
• Indiana University Health Inc
• Indiana University Health Inc
• Indiana University Health Saxony Surgery Center LLC
• Indianapolis Perioperative Medicine, LLC
• Indianapolis TMS, LLC
• Indy Center for Sleep Health LLC
• Indy Child Therapist, LLC
• Indy Lactation Care,LLC

• Medical Physician Assistant in Fishers, IN
• Providers in Fishers, IN by specialty
• Medical Physician Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2016; 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.