Active NPI
Peter Nalin, M.D.
- Family Medicine Physician
- Avon, IN
National Provider Identifier
1811954001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01055223B
- Practice address
- 1115 Ronald Reagan Pkwy
Suite 141
Avon, IN 46123-6910 - Phone
- (317) 217-4864
- NPI assigned
- May 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01055223B | IN | Primary |
Addresses
Primary practice location
1115 Ronald Reagan Pkwy
Suite 141
Avon, IN 46123-6910
Mailing address
1115 Ronald Reagan Pkwy
Suite 141
Avon, IN 46123-6910
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01055223B | IN | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811954001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1115 RONALD REAGAN PKWY",
"address_2": "SUITE 141",
"city": "AVON",
"state": "IN",
"postal_code": "461236910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1115 RONALD REAGAN PKWY",
"address_2": "SUITE 141",
"city": "AVON",
"state": "IN",
"postal_code": "461236910",
"telephone_number": "317-217-4864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NALIN",
"first_name": "PETER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01055223B",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Avon, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.