NPIMap

Organization Active NPI

Proactive Clinical Partners - Aco

  • Geriatric Medicine (Internal Medicine) Physician
  • Indianapolis, IN
National Provider Identifier
1821709031
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
Legal business name
PROACTIVE CLINICAL PARTNERS - ACO
Practice address
8455 Keystone Xing Ste 300
Indianapolis, IN 46240-4353
Phone
(317) 941-7338
Fax
(317) 969-6727
NPI assigned
Dec 8, 2022
Last updated
May 14, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
PROACTIVE CLINICAL PARTNERSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Authorized official

Name
Hector Vazquez
Title
Ceo
Phone
(317) 941-7338

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0300X Primary

Addresses

Primary practice location

8455 Keystone Xing Ste 300
Indianapolis, IN 46240-4353

Mailing address

8455 Keystone Xing Ste 300
Indianapolis, IN 46240-4353
Phone (317) 941-7338

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230710000733 IN Part B Supplier - Clinic/Group Practice 5890154884 Receives reassigned benefits from 47 practitioners
Practice locations: Indianapolis, IN

National Provider Directory

National Provider Directory
Part of
Proactive Clinical Partners

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2485 Directors Row
Ste D
Indianapolis, IN 46241
Phone (317) 941-7331

8406 Clearvista PL
Indianapolis, IN 46256

8455 Keystone Xing
Ste 300
Indianapolis, IN 46240
Phone (317) 389-5418

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 51

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 51

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1670457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778716800000",
    "number": "1821709031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8455 KEYSTONE XING STE 300",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462404353",
            "telephone_number": "317-941-7338",
            "fax_number": "317-969-6727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8455 KEYSTONE XING STE 300",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462404353",
            "telephone_number": "317-941-7338",
            "fax_number": "317-969-6727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROACTIVE CLINICAL PARTNERS - ACO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROACTIVE CLINICAL PARTNERS",
        "enumeration_date": "2022-12-08",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A",
        "authorized_official_last_name": "VAZQUEZ",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "317-941-7338"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; 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.