Individual provider Active NPI

Amanda Laird, PA-C

  • Physician Assistant
  • Indianapolis, IN
National Provider Identifier
1770190456
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10003075A Issued in IN
Practice address
3524 N Meridian St
Indianapolis, IN 46208-4486
Phone
(317) 925-0693
NPI assigned
Sep 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10003075A IN Primary

Addresses

Primary practice location

3524 N Meridian St
Indianapolis, IN 46208-4486

Mailing address

3524 N Meridian St
Indianapolis, IN 46208-4486
Phone (317) 925-0653

Other names 1

  • Amanda Azar Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201117001154 IN Practitioner - Physician Assistant 2668892993 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Meridian Medical Services IncGroup PAC ID 6608828181, 5 clinicians

Practice addresses (Care Compare)

3524 N Meridian St
Indianapolis, IN 46208-4486
Phone (317) 925-0653

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy at Home LLC CurrentSince Dec 24, 2025 Accepting new patients
Meridian Gap Closure LLC CurrentSince Jul 9, 2025 Accepting new patients
Meridian Medical Services, Inc CurrentSince Oct 1, 2020 Accepting new patients
Major Hospital Past Accepting new patients

Locations

3266 N Meridian St
Ste 501
Indianapolis, IN 46208
Phone (317) 924-8315

3524 N Meridian St
Indianapolis, IN 46208
Phone (317) 496-7137

Interoperability endpoints

  • Direct secure messaging: amanda.laird.1@30205.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1601251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1770190456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3524 N MERIDIAN ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462084486",
            "telephone_number": "317-925-0653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3524 N MERIDIAN ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462084486",
            "telephone_number": "317-925-0693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAIRD",
        "first_name": "AMANDA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-28",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10003075A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "AZAR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.