NPIMap

Organization Active NPI

Indiana Heart Associates PC

  • Cardiovascular Disease Physician
  • Martinsville, IN
National Provider Identifier
1750334124
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
50003647A Issued in IN
Legal business name
INDIANA HEART ASSOCIATES PC
Practice address
2209 John R Wooden Dr
Martinsville, IN 46151-1840
Phone
(765) 349-6710
Fax
(765) 349-6751
NPI assigned
May 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
Dr. Ramarao Yeleti, MD
Title
President
Phone
(317) 621-8666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 50003647A IN Primary

Addresses

Primary practice location

2209 John R Wooden Dr
Martinsville, IN 46151-1840

Mailing address

920 N Shadeland Ave
Suite G1
Indianapolis, IN 46219-4898
Phone (317) 355-9783

Other identifiers 1

IdentifierTypeStateIssuer
2000201000MedicaidIN

National Provider Directory

National Provider Directory
Tax ID family
Indiana Heart Associates PC8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1750334124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 N SHADELAND AVE",
            "address_2": "SUITE G1",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194898",
            "telephone_number": "317-355-9783",
            "fax_number": "317-355-9760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2209 JOHN R WOODEN DR",
            "city": "MARTINSVILLE",
            "state": "IN",
            "postal_code": "461511840",
            "telephone_number": "765-349-6710",
            "fax_number": "765-349-6751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA HEART ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "YELETI",
        "authorized_official_first_name": "RAMARAO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-621-8666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "50003647A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2000201000",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.