Keely Anne Radosevic

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

28198674A Issued in IN

Practice address

1270 N Post Rd Ste a
Indianapolis, IN 46219-4254

Phone

(317) 895-6095

Fax

(317) 895-6195

NPI assigned

May 11, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Keely Anne Wright Former name

Electronic endpoints 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Urology of Indiana LLCGroup PAC ID 7517870009, 79 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Community Hospital North Hospital, Indianapolis, IN, CCN 150169
• Community Hospital East Hospital, Indianapolis, IN, CCN 150074

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: urologyin@directaddress.net

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.

• Urology of Indiana L.L.C.

  • Urology Physician
  • Greenwood, IN
  • NPI 1487680518

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Urology of Indiana, L.L.C.

  • Customized Equipment (DME)
  • Indianapolis, IN
  • NPI 1740360379
  NPD
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)
• Urology of Indiana L.L. C.

  • Customized Equipment (DME)
  • Avon, IN
  • NPI 1578961314
  NPD (past)
• Urology of Indiana L.L.C

  • Customized Equipment (DME)
  • Crawfordsville, IN
  • NPI 1740688589
  NPD (past)
• Urology of Indiana L.L.C.

  • Customized Equipment (DME)
  • Franklin, IN
  • NPI 1003996638
  NPD (past)
• Urology of Indiana L.L.C.

  • Customized Equipment (DME)
  • Danville, IN
  • NPI 1104906734
  NPD (past)
• Urology of Indiana L.L.C.

  • Customized Equipment (DME)
  • Greenfield, IN
  • NPI 1275613804
  NPD (past)
• Urology of Indiana L.L.C.

  • Customized Equipment (DME)
  • Lebanon, IN
  • NPI 1447342894
  NPD (past)
• Urology of Indiana L.L.C.

  • Customized Equipment (DME)
  • Mooresville, IN
  • NPI 1487052221
  NPD (past)
• Urology of Indiana L.L.C.

  • Customized Equipment (DME)
  • Noblesville, IN
  • NPI 1669552295
  NPD (past)
• Urology of Indiana L.L.C.

  • Customized Equipment (DME)
  • Shelbyville, IN
  • NPI 1821496662
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Community Health Network, Inc

  • General Acute Care Hospital
  • Indianapolis, IN
  • NPI 1336119478
  Care Compare affiliation
• Community Health Network, Inc

  • General Acute Care Hospital
  • Indianapolis, IN
  • NPI 1619163854
  Care Compare affiliation

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1851828636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "679 E COUNTY LINE RD",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461431049",
            "telephone_number": "317-807-1262",
            "fax_number": "317-859-4269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 N POST RD STE A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194254",
            "telephone_number": "317-895-6095",
            "fax_number": "317-895-6195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADOSEVIC",
        "first_name": "KEELY",
        "middle_name": "ANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "28198674A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1487680518",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "677730",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "urologyin@directaddress.net",
            "affiliation": "Y",
            "affiliationName": "Urology of Indiana L.L.C.",
            "address_1": "1270 N Post Rd",
            "address_2": "Suite A",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462194228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KEELY",
            "last_name": "WRIGHT",
            "middle_name": "ANNE",
            "credential": "NP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Radiant Legacy Group LLC
• Radiant Light Home Care LLP
• Anna Radican, RBT
• Radiology of Indiana P C
• Jennifer Radloff
• Ivana Radovanovic, MD
• Aleksandra Radovanovich, APRN
• John Thomas Raduka, MD
• Julia Katherine Raduka, MD
• Elias Rady, MD

• Nurse Practitioner in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; 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.

Verify at the official NPI Registry.