Organization Active NPI

HRT in PC

Doing business as Ageless Men's Health

  • Family Medicine Physician
  • Indianapolis, IN
National Provider Identifier
1861296964
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HRT IN PC
Doing business as
Ageless Men's Health
Practice address
9761 Crosspoint Blvd Ste 500
Indianapolis, IN 46256-3800
Phone
(317) 516-5172
NPI assigned
Apr 1, 2025
Last updated
Aug 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Authorized official

Name
Amanda Wilkinson
Title
Operations Director
Phone
(602) 796-2559

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

9761 Crosspoint Blvd Ste 500
Indianapolis, IN 46256-3800

Mailing address

10501 W Gowan Rd Ste 200
Las Vegas, NV 89129-6602
Phone (725) 204-6055

Other practice location 1

8261 Wicker Ave
Saint John, IN 46373-8878
Phone (725) 204-6055

Other practice location 2

1700 W Smith Valley Rd Ste A2
Greenwood, IN 46142-1589
Phone (725) 204-6055

Other names 1

  • Ageless Men's Health Doing business as

National Provider Directory

National Provider Directory

Locations

1700 W Smith Valley Rd
Ste A2
Greenwood, IN 46142
Phone (317) 300-1465

9761 Crosspoint Blvd
Ste 500
Indianapolis, IN 46256
Phone (317) 418-2314

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1743465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785801600000",
    "number": "1861296964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10501 W GOWAN RD STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891296602",
            "telephone_number": "725-204-6055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9761 CROSSPOINT BLVD STE 500",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462563800",
            "telephone_number": "317-516-5172"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8261 Wicker Ave",
            "address_purpose": "LOCATION",
            "city": "Saint John",
            "state": "IN",
            "postal_code": "463738878",
            "country_code": "US",
            "telephone_number": "725-204-6055",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1700 W Smith Valley Rd Ste A2",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "IN",
            "postal_code": "461421589",
            "country_code": "US",
            "telephone_number": "725-204-6055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HRT IN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-01",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A",
        "authorized_official_last_name": "WILKINSON",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OPERATIONS DIRECTOR",
        "authorized_official_telephone_number": "602-796-2559"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ageless Men's Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ageless Men's Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.