Homer F Beltz, MD
Individual provider Active NPI Diagnostic Radiology Physician · Indianapolis, IN
NPI 1801899778 · NPPES record last updated Dec 4, 2009
Key facts
- NPI
- 1801899778
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- 01023783A (IN)
- Practice address
- 5901 Technology Center Dr
Indianapolis, IN 46278-6013 - Phone
- (317) 328-5050
- Fax
- (317) 715-9965
- NPI assigned
- May 24, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Vincent Northwest Radiology LLC | Diagnostic Radiology | Past | Accepting new patients |
| Rush Memorial Hospital | Past | Accepting new patients | |
| St. Vincent Health Wellness and Preventive Care Institute, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 01023783A | IN | Yes |
Addresses
Primary practice location
5901 Technology Center Dr
Indianapolis, IN 46278-6013
Mailing address
5901 Technology Center Dr
Indianapolis, IN 46278-6013
Phone (317) 328-5050
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000492333 | Other | IN | ANTHEM 203778927 |
| 100369240 | Medicaid | IN | |
| 000000082140 | Other | IN | ANTHEM-351158723 |
| Q0071706 | Other | IN | CMOSHO351158723&352047427 |
| 300100617 | Other | IN | RR MEDICARE-351158723 |
| 001803 | Other | IN | SIHO-351158723 |
| 063316 | Other | IN | HEALTH ALLIANCE-351158723 |
Other providers in Indianapolis, IN
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- Beltway Surgery Centers, LLC
- Beltway Surgery Centers, LLC
- Amy Beltz
- Kathleen Lynn Bemenderfer
- Joanna Bement
- Philip Bemiller
- Ben Anderson PA-C Surgical Assist LLC
- Taha Ben Saad
All providers in Indianapolis, IN · Diagnostic Radiology 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 Dec 4, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.