Active NPI
Olivia Nirmalasari, MD
- Internal Medicine Physician
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 01085545A
- Practice address
- 4515 Martin Luther King Jr Way S
#100
Seattle, WA 98108-2183 - Phone
- (206) 320-5325
- Fax
- (206) 320-5326
- NPI assigned
- Jul 28, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 01085545A | IN | |
| Internal Medicine Physician | 207R00000X | 01085545A | IN | Primary |
| Internal Medicine Physician | 207R00000X | MD60529766 | WA |
Addresses
Primary practice location
4515 Martin Luther King Jr Way S
#100
Seattle, WA 98108-2183
Mailing address
250 N Shadeland Ave
Indianapolis, IN 46219-4959
Phone (317) 948-9174
Other practice location 1
720 Eskenazi Ave
Indianapolis, IN 46202-5187
Phone (317) 880-7666
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
720 Eskeanzi Ave
Indianapolis, IN 46202-5166
Phone (317) 880-0000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD60529766 | WA | MD | Internal Medicine Physician |
| 01085545A | IN | MD | Geriatric Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indiana University Health Care Associates, Inc | Current | Accepting new patients | |
| The Health and Hospital Corporation of Marion County | Current | Accepting new patients | |
| The Health and Hospital Corporation of Marion County | Current | Accepting new patients | |
| Major Hospital | Past | Accepting new patients | |
| University Medical Diagnostic Associates, Inc. | Internal Medicine | Past | Accepting new patients |
| Providence Health & Services - Washington | Past | Accepting new patients |
Locations
5208 Reliable Pkwy
Chicago, IL 60686
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
720 Eskenazi Ave
Indianapolis, IN 46202
Phone (317) 880-0000
720 Eskenazi Ave
Fl 6
Indianapolis, IN 46202
Phone (317) 880-0000
1701 N Senate Blvd
Bldg C6
Indianapolis, IN 46202
Phone (913) 962-2000
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Eskenazi Health
- Nurse Practitioner
- Indianapolis, IN
- NPI 1104027879
-
dba IU Health Physicians
- General Practice Physician
- Indianapolis, IN
- NPI 1902032832
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Indianapolis, IN
- NPI 1871311779
-
dba Providence ElderPlace
- Exclusive Provider Organization
- Seattle, WA
- NPI 1881681518
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
-
- Internal Medicine Physician
- Indianapolis, IN
- NPI 1861441537
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Indiana University Health
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1144266024
-
- Home Health Agency
- Carmel, IN
- NPI 1689979965
-
dba Eskenazi Health
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1568407310
-
dba Eskenazi Health Midtown Narcotics Treatment Program
- Methadone Clinic
- Indianapolis, IN
- NPI 1760922249
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758758400000",
"number": "1821302225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 N SHADELAND AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462194959",
"telephone_number": "317-948-9174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4515 MARTIN LUTHER KING JR WAY S",
"address_2": "#100",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981082183",
"telephone_number": "206-320-5325",
"fax_number": "206-320-5326"
}
],
"practiceLocations": [
{
"address_1": "720 Eskenazi Ave",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462025187",
"country_code": "US",
"telephone_number": "317-880-7666",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NIRMALASARI",
"first_name": "OLIVIA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-28",
"last_updated": "2025-09-25",
"certification_date": "2025-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "IN",
"license": "01085545A",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01085545A",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "MD60529766",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.