Organization Active NPI

University Radiation Oncology Associates, Inc.

  • Radiation Oncology Physician
  • Indianapolis, IN
National Provider Identifier
1770534687
Registry record updated Apr 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
UNIVERSITY RADIATION ONCOLOGY ASSOCIATES, INC.
Practice address
535 Barnhill Dr
RT 041
Indianapolis, IN 46202-5116
Phone
(317) 944-1259
Fax
(317) 944-2486
NPI assigned
May 15, 2006
Last updated
Apr 8, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2015

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

Authorized official

Name
Dr. Kevin McMullenNPI 1093797045
Title
President
Phone
(317) 962-3172

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X IN Primary

Addresses

Primary practice location

535 Barnhill Dr
RT 041
Indianapolis, IN 46202-5116

Mailing address

250 N Shadeland Ave
Suite 130
Indianapolis, IN 46219-4959

Other identifiers 1

IdentifierTypeStateIssuer
200017290MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040830000920 IN Part B Supplier - Clinic/Group Practice 6507831856 Receives reassigned benefits from 22 practitioners
Practice locations: Indianapolis, IN; Martinsville, IN; Fishers, IN; Carmel, IN; Avon, IN

National Provider Directory

National Provider Directory

Locations

2769 Solution Ctr
Chicago, IL 60677

11725 Illinois St
Ste 545
Carmel, IN 46032
Phone (317) 580-1586

535 Barnhill Dr
Indianapolis, IN 46202
Phone (317) 274-2524

Practitioners & affiliated clinicians

Practitioners 43

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 43

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428451200000",
    "number": "1770534687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "address_2": "SUITE 130",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 BARNHILL DR",
            "address_2": "RT 041",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462025116",
            "telephone_number": "317-944-1259",
            "fax_number": "317-944-2486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY RADIATION ONCOLOGY ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2015-04-08",
        "status": "A",
        "authorized_official_last_name": "MCMULLEN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-962-3172",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200017290",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.