Active NPI
Seasons Medical Group of Indiana, PC
- Hospice and Palliative Medicine (Family Medicine) Physician
- Indianapolis, IN
National Provider Identifier
1861809451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Family Medicine) Physician
- Legal business name
- SEASONS MEDICAL GROUP OF INDIANA, PC
- Practice address
- 2629 Waterfront Parkway East Dr
Ste 375
Indianapolis, IN 46214-2076 - Phone
- (866) 400-9692
- NPI assigned
- Jul 16, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carrie Bill
- Title
- VP Finance
- Phone
- (847) 692-1000
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Family Medicine) Physician | 207QH0002X | Primary | ||
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X |
Addresses
Primary practice location
2629 Waterfront Parkway East Dr
Ste 375
Indianapolis, IN 46214-2076
Mailing address
6400 Shafer CT Ste 300a
Rosemont, IL 60018-4914
Other names 1
- AccentCare Medical Group of Indiana
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140925001718 | IN | Part B Supplier - Clinic/Group Practice | 9133349178 |
Receives reassigned benefits from 7 practitioners Practice locations: Indianapolis, IN |
National Provider Directory
National Provider DirectoryLocations
8350 S Emerson Ave
Indianapolis, IN 46237
Phone (317) 820-5288
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Hospice and Palliative Medicine Physician
- Fort Worth, TX
- NPI 1518209907
IN
-
- Internal Medicine Physician
- San Antonio, TX
- NPI 1649465584
Hospice and Palliative Medicine, IN
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405468800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1673568000000",
"number": "1861809451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6400 SHAFER CT STE 300A",
"city": "ROSEMONT",
"state": "IL",
"postal_code": "600184914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2629 WATERFRONT PARKWAY EAST DR",
"address_2": "STE 375",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462142076",
"telephone_number": "866-400-9692"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SEASONS MEDICAL GROUP OF INDIANA, PC",
"organizational_subpart": "NO",
"enumeration_date": "2014-07-16",
"last_updated": "2023-01-13",
"certification_date": "2023-01-13",
"status": "A",
"authorized_official_last_name": "BILL",
"authorized_official_first_name": "CARRIE",
"authorized_official_title_or_position": "VP FINANCE",
"authorized_official_telephone_number": "847-692-1000"
},
"taxonomies": [
{
"code": "207QH0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Hospice and Palliative Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RH0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "AccentCare Medical Group of Indiana",
"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 Jan 13, 2023; 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.