NPIMap

Organization Active NPI

I Care Center Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Indianapolis, IN
National Provider Identifier
1861215899
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
I CARE CENTER ANESTHESIA LLC
Practice address
9002 N Meridian St Ste L22
Indianapolis, IN 46260-5391
Phone
(317) 848-1763
NPI assigned
Nov 7, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Authorized official

Name
Debra Orange-Miller
Title
Authorized Official
Phone
(317) 848-1763

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X Primary

Addresses

Primary practice location

9002 N Meridian St Ste L22
Indianapolis, IN 46260-5391

Mailing address

9002 N Meridian St Ste L22
Indianapolis, IN 46260-5391
Phone (317) 848-1763

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241212003844 IN Part B Supplier - Clinic/Group Practice 0345776357 Receives reassigned benefits from 4 practitioners
Practice locations: Indianapolis, IN

National Provider Directory

National Provider Directory

Member of 1

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

Locations

9002 N Meridian St
Ste L22
Indianapolis, IN 46260
Phone (317) 848-1763

Practitioners & affiliated clinicians

Practitioners 6

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": "1730937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730937600000",
    "number": "1861215899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9002 N MERIDIAN ST STE L22",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462605391",
            "telephone_number": "317-848-1763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9002 N MERIDIAN ST STE L22",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462605391",
            "telephone_number": "317-848-1763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I CARE CENTER ANESTHESIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-07",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A",
        "authorized_official_last_name": "ORANGE-MILLER",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "317-848-1763"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "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 Nov 7, 2024; 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.