Organization Active NPI

Klaas Medical

Doing business as Retina Specialists of Indiana

  • Ophthalmology Physician
  • Indianapolis, IN
National Provider Identifier
1932805405
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
KLAAS MEDICAL
Doing business as
Retina Specialists of Indiana
Practice address
8849 Shelby St Ste A1
Indianapolis, IN 46227-6299
Phone
(317) 692-1249
NPI assigned
Feb 6, 2023
Last updated
Mar 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

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

Authorized official

Name
Carissa Klass, MD
Title
Owner
Phone
(317) 692-1249

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

8849 Shelby St Ste A1
Indianapolis, IN 46227-6299

Mailing address

8849 Shelby St Ste A1
Indianapolis, IN 46227-6299

Other practice location 1

915 W Brown St
Seymour, IN 47274-2715
Phone (812) 522-8777

Other names 1

  • Retina Specialists of Indiana Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230405000486 IN Part B Supplier - Clinic/Group Practice 4183099195 Receives reassigned benefits from 1 practitioner
Practice locations: Indianapolis, IN; Seymour, IN

National Provider Directory

National Provider Directory

Locations

8849 Shelby St
Ste A1
Indianapolis, IN 46227
Phone (317) 692-1249

915 W Brown St
Seymour, IN 47274
Phone (317) 692-1249

Practitioners & affiliated clinicians

Practitioners 3

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": "1675641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679270400000",
    "number": "1932805405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8849 SHELBY ST STE A1",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462276299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8849 SHELBY ST STE A1",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462276299",
            "telephone_number": "317-692-1249"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "915 W Brown St",
            "address_purpose": "LOCATION",
            "city": "Seymour",
            "state": "IN",
            "postal_code": "472742715",
            "country_code": "US",
            "telephone_number": "812-522-8777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KLAAS MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A",
        "authorized_official_last_name": "KLASS",
        "authorized_official_first_name": "CARISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-692-1249",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Retina Specialists of Indiana",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Retina Specialists 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 Mar 20, 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.

Verify at the official NPI Registry.