Riviera Pediatrics LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

01021195A Issued in IN

Legal business name

RIVIERA PEDIATRICS LLC

Practice address

4115 Office Plaza Blvd
Indianapolis, IN 46254-2408

Phone

(317) 297-3507

Fax

(317) 290-2557

NPI assigned

Apr 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Donald K Leedy, M.D.

Title

Dr Owner

Phone

(317) 297-3507

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joe M Hannah, M.D.

  • Pediatrics Physician
  • Indianapolis, IN
  • NPI 1417059536
  NPD (past)
• Patricia Gail Huse, MD

  • Pediatrics Physician
  • Indianapolis, IN
  • NPI 1609961978
  NPD (past)
• Joshua Tomas Richey, MD

  • Pediatrics Physician
  • Indianapolis, IN
  • NPI 1386739589
  NPD (past)
• Michelle Ann Timmons, MD

  • Pediatrics Physician
  • Indianapolis, IN
  • NPI 1720173008
  NPD (past)

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912029257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4115 OFFICE PLAZA BLVD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462542408",
            "telephone_number": "317-297-3507",
            "fax_number": "317-290-2557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4115 OFFICE PLAZA BLVD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462542408",
            "telephone_number": "317-297-3507",
            "fax_number": "317-290-2557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVIERA PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEEDY",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DR  OWNER",
        "authorized_official_telephone_number": "317-297-3507",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01021195A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000000083791",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Riverside Community Care Clinic of Indiana Corp
• Riverstone Home Health Services, Inc.
• Riverview Hospital
• Riverview Hospital
• Riverview Hospital
• Jessica Elizabeth Rix, PA-C
• Salwa Rizk
• Marina M Rizkalla, PHARMD
• Marly Rizkalla, D.D.S.
• Diane Rizkallah, MD

• Pediatrics Physician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Pediatrics Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.