NPIMap

Organization Active NPI

Hendricks County Hospital

  • Surgery Physician
  • Danville, IN
National Provider Identifier
1780913855
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
HENDRICKS COUNTY HOSPITAL
Practice address
112 Hospital Lane
Suite 100
Danville, IN 46122-2600
Phone
(317) 745-3740
Fax
(317) 745-3816
NPI assigned
Dec 18, 2009
Organization subpart
Yes
Parent organization
HENDRICKS COMMUNITY HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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

Authorized official

Name
Heather Rutherford
Title
Credentialing Coordinator
Phone
(317) 837-5566

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

112 Hospital Lane
Suite 100
Danville, IN 46122-2600

Mailing address

1100 Southfield Drive
Suite 1370
Plainfield, IN 46168-4300
Phone (317) 837-5571

Other practice location 1

5492 N Ronald Reagan Pkwy Ste 1145
Brownsburg, IN 46112-5657
Phone (317) 745-3740

Other identifiers 1

IdentifierTypeStateIssuer
200969180AMedicaidIN

Other names 1

  • Hendricks Surgical Associates Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040811000309 IN Part B Supplier - Clinic/Group Practice 4880505528 Receives reassigned benefits from 431 practitioners
This NPI is an additional NPI on the enrollment
Practice locations: Brownsburg, IN; Danville, IN; Greencastle, IN; Lizton, IN; Plainfield, IN; Avon, IN; Bainbridge, IN

National Provider Directory

National Provider Directory
Tax ID family
Hendricks Community Hosp110 organizations share this tax ID, including this one
Part of
Hendricks Community Hosp

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

100 Hospital Ln
Ste 315
Danville, IN 46122
Phone (317) 718-9000

Practitioners & affiliated clinicians

Practitioners 11

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": "1261094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763337600000",
    "number": "1780913855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 SOUTHFIELD DRIVE",
            "address_2": "SUITE 1370",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "461684300",
            "telephone_number": "317-837-5571",
            "fax_number": "317-837-5580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 HOSPITAL LANE",
            "address_2": "SUITE 100",
            "city": "DANVILLE",
            "state": "IN",
            "postal_code": "461222600",
            "telephone_number": "317-745-3740",
            "fax_number": "317-745-3816"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5492 N Ronald Reagan Pkwy Ste 1145",
            "address_purpose": "LOCATION",
            "city": "Brownsburg",
            "state": "IN",
            "postal_code": "461125657",
            "country_code": "US",
            "telephone_number": "317-745-3740",
            "fax_number": "317-745-3816",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HENDRICKS COUNTY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HENDRICKS COMMUNITY HOSPITAL",
        "enumeration_date": "2009-12-18",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A",
        "authorized_official_last_name": "RUTHERFORD",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "317-837-5566"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200969180A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hendricks Surgical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Danville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2025; 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.