Organization Active NPI

Irmc/BHS Multispecialty Physician Group Inc

  • Cardiovascular Disease Physician
  • Indiana, PA
National Provider Identifier
1821541640
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
IRMC/BHS MULTISPECIALTY PHYSICIAN GROUP INC
Practice address
119 Professional Ctr
1265 Wayne Avenue, Suite 206
Indiana, PA 15701-3586
Phone
(724) 284-5670
Fax
(724) 284-4144
NPI assigned
Jul 28, 2016
Organization subpart
Yes
Parent organization
IRMS/BHS MULTISPECIALTY PHYSICIAN GROUP INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Authorized official

Name
Denise M Blickenderfer
Title
Credentialer
Phone
(724) 357-7333

Specialties & licenses 1

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

Addresses

Primary practice location

119 Professional Ctr
1265 Wayne Avenue, Suite 206
Indiana, PA 15701-3586

Mailing address

640 Kolter Dr
Indiana, PA 15701-3570
Phone (724) 357-7333

Other names 1

  • IRMC Cardiology Associates in partnership wtih Butler Health System Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161021000605 PA Part B Supplier - Clinic/Group Practice 4486932753 Receives reassigned benefits from 8 practitioners
Practice locations: Indiana, PA

National Provider Directory

National Provider Directory
Part of
Irmcbhs Multispecialty Phys

Locations

620 Kolter Dr
Indiana, PA 15701

1265 Wayne Ave
Ste 206
Indiana, PA 15701
Phone (724) 284-5670

Practitioners & affiliated clinicians

Practitioners 9

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": "1469664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759708800000",
    "number": "1821541640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 KOLTER DR",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013570",
            "telephone_number": "724-357-7333",
            "fax_number": "724-357-7279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 PROFESSIONAL CTR",
            "address_2": "1265 WAYNE AVENUE, SUITE 206",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013586",
            "telephone_number": "724-284-5670",
            "fax_number": "724-284-4144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRMC/BHS MULTISPECIALTY PHYSICIAN GROUP INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "IRMS/BHS MULTISPECIALTY PHYSICIAN GROUP INC",
        "enumeration_date": "2016-07-28",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A",
        "authorized_official_last_name": "BLICKENDERFER",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CREDENTIALER",
        "authorized_official_telephone_number": "724-357-7333"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IRMC Cardiology Associates in partnership wtih Butler Health System",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Indiana, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.