Organization Active NPI

Indiana Heart Physicians, Inc

  • Cardiovascular Disease Physician
  • Shelbyville, IN
National Provider Identifier
1780891804
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
INDIANA HEART PHYSICIANS, INC
Practice address
150 W Washington St
Shelbyville, IN 46176-1236
Phone
(317) 893-1900
Fax
(317) 893-1901
NPI assigned
May 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2008

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

Authorized official

Name
Mary Benjamin
Title
Coo
Phone
(317) 893-1900

Specialties & licenses 1

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

Addresses

Primary practice location

150 W Washington St
Shelbyville, IN 46176-1236

Mailing address

PO Box 710
Beech Grove, IN 46107-0710
Phone (317) 893-1880

Other identifiers 1

IdentifierTypeStateIssuer
100073370AMedicaidIN

National Provider Directory

National Provider Directory
Tax ID family
Indiana Heart Physicians Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1780891804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 710",
            "city": "BEECH GROVE",
            "state": "IN",
            "postal_code": "461070710",
            "telephone_number": "317-893-1880",
            "fax_number": "317-893-1881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W WASHINGTON ST",
            "city": "SHELBYVILLE",
            "state": "IN",
            "postal_code": "461761236",
            "telephone_number": "317-893-1900",
            "fax_number": "317-893-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA HEART PHYSICIANS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "BENJAMIN",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "317-893-1900"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100073370A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelbyville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.