NPIMap

Organization Active NPI

My MD Housecalls, LLC

  • Family Medicine Physician
  • Indianapolis, IN
National Provider Identifier
1942510623
Registry record updated Apr 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MY MD HOUSECALLS, LLC
Practice address
9002 N Meridian St
Suite 209
Indianapolis, IN 46260-5381
Phone
(317) 848-4460
Fax
(317) 848-4493
NPI assigned
Oct 15, 2010
Last updated
Apr 22, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2011

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

Authorized official

Name
Kevin R Ruark
Title
Member
Phone
(734) 414-9990

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X IN
Nurse Practitioner 363L00000X IN
Family Medicine Physician 207Q00000X NU Primary
Internal Medicine Physician 207R00000X NU
Podiatrist 213E00000X IN

Addresses

Primary practice location

9002 N Meridian St
Suite 209
Indianapolis, IN 46260-5381

Mailing address

801 W Ann Arbor TRL
Suite 200
Plymouth, MI 48170-1694
Phone (734) 414-9990

National Provider Directory

National Provider Directory

Locations

387 Ridgepoint Dr
Carmel, IN 46032
Phone (317) 848-4460

9100 Keystone Xing
Indianapolis, IN 46240
Phone (317) 848-4460

NPI Registry JSON

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

{
    "created_epoch": "1287100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303430400000",
    "number": "1942510623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 W ANN ARBOR TRL",
            "address_2": "SUITE 200",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701694",
            "telephone_number": "734-414-9990",
            "fax_number": "775-258-1535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9002 N MERIDIAN ST",
            "address_2": "SUITE 209",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462605381",
            "telephone_number": "317-848-4460",
            "fax_number": "317-848-4493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY MD HOUSECALLS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-15",
        "last_updated": "2011-04-22",
        "status": "A",
        "authorized_official_last_name": "RUARK",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "734-414-9990"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "IN",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IN",
            "license": null,
            "primary": false
        }
    ],
    "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 Apr 22, 2011; 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.