Ivisit Doc Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

IVISIT DOC INC

Doing business as

Apkamd

Practice address

7345 Woodland Dr Ste 1
Indianapolis, IN 46278-1737

Phone

(317) 762-4025

Fax

(317) 759-4003

NPI assigned

Jun 14, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Leo Obrique

Title

Vice President of Technology

Phone

(317) 561-9125

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• APKAMD Doing business as

Medicare fee-for-service enrollment

Enrolled in IN, MD, AR, KY, GA, RI, DC, DE, KS, IL, WV, VA, WI, WA, MI, NE, OK, TN18 enrollments

Enrollment records 18

Tax ID family

Ivisit Doc Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Ivisitdoc Inc.

  dba iVisitDoc

  • Internal Medicine Physician
  • Indianapolis, IN
  • NPI 1417527524
  NPD tax ID

Locations

Practitioners 9

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

• Rami Azzam Ahmed, D.O.

  • Emergency Medicine Physician
  • Indianapolis, IN
  • NPI 1376740092

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Prabhjot S Pannu, M.D.

  • Internal Medicine Physician
  • Indianapolis, IN
  • NPI 1447295399

  AR, DC, DE, GA, IL, KS, KY, MD, MI, NE, OK, RI, TN, VA, WA, WI, WV

  Medicare reassignment Care Compare group NPD
• Jude J Momodu, M.D.

  • Family Medicine Physician
  • NPI 1912924549

  IN

  Medicare reassignment NPD
• Annadurai Kuppusamy, M S (PHARM) RPH

  • Pharmacist
  • Indianapolis, IN
  • NPI 1497024244
  NPD (past)
• Jennifer Ann Maze

  • Registered Nurse
  • Indianapolis, IN
  • NPI 1578002788
  NPD (past)
• Denin Kevin Plan

  • Registered Nurse
  • Indianapolis, IN
  • NPI 1164966040
  NPD (past)
• Shashanka Shesham

  • Physical Therapist
  • Indianapolis, IN
  • NPI 1609311240
  NPD (past)
• Jericho Earl Ventura

  • Physical Therapist
  • Indianapolis, IN
  • NPI 1215474192
  NPD (past)
• Leena S Badiwale, DPT

  • Physical Therapist
  • Oak Lawn, IL
  • NPI 1053857763
  NPD (past)

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650240000000",
    "number": "1952979288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7345 WOODLAND DR STE 1",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462781737",
            "telephone_number": "877-843-2351",
            "fax_number": "317-981-6716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7345 WOODLAND DR STE 1",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462781737",
            "telephone_number": "317-762-4025",
            "fax_number": "317-759-4003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVISIT DOC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-14",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A",
        "authorized_official_last_name": "OBRIQUE",
        "authorized_official_first_name": "LEO",
        "authorized_official_title_or_position": "VICE PRESIDENT OF TECHNOLOGY",
        "authorized_official_telephone_number": "317-561-9125",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERNAL MEDICINE LICENSE - IN",
            "identifier": "01054614A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "APKAMD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "APKAMD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Abigail Ivers
• Monique M Iverson, NP
• Marilyn Ives
• Meilyn Ivey, PA-C
• Ivf Indiana, LLC
• Ivisitdoc Inc. (iVisitDoc)
• Suzanne Ivkovich, N.P.
• Jaquille B Ivory
• Jasmine Dannielle Ivory, MD
• Ivx Health of Indiana PC (IVX Health)

• Internal Medicine Physician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Internal Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; 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.