Emergency Physicians of Indianapolis, PC
Organization Active NPI Emergency Medicine Physician · Indianapolis, IN
NPI 1770538340 · NPPES record last updated Mar 31, 2021
Key facts
- NPI
- 1770538340
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- EMERGENCY PHYSICIANS OF INDIANAPOLIS, PC
- Practice address
- 8111 S Emerson Ave
Indianapolis, IN 46237-8601 - Phone
- (317) 528-8148
- Fax
- (317) 528-8115
- NPI assigned
- May 23, 2006
- Organization subpart
- No
Authorized official
- Name
- Randall Todd, MD
- Title
- President
- Phone
- (317) 528-8148
Practitioners 136
-
David T. Blank, DO
-
Kevin Colvin, MD
-
Vanessa Culver, PA-C
-
Jacob John Dickinson, M.D.
-
Jean W. Godfrey, MD
-
Kelly Halt, DO
-
Ross Evan Heskett, M.D.
-
Ryan King, D.O.
-
Tricia Jaclyn Kreuter, M.D.
-
Rebecca Marquis, DO
-
Trevor McMunn, MD
-
Robert Austgen, M.D.
-
Todd Bagwell, MD
-
Chris J Hartman, MD
-
Brian T Johnston, MD
-
Arthur L. Stern, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040225000957 | IN | Part B Supplier - Clinic/Group Practice | 2365338480 |
Receives reassigned benefits from 59 practitioners Practice locations: Indianapolis, IN; Mooresville, IN |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | Yes |
Addresses
Primary practice location
8111 S Emerson Ave
Indianapolis, IN 46237-8601
Mailing address
PO Box 7112
Dept 31
Indianapolis, IN 46207-7112
Phone (317) 802-3151
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100132720 | Medicaid | IN |
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All providers in Indianapolis, IN · Emergency Medicine Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 31, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.