Daniel F Klink, M.D.
Individual provider Active NPI Anatomic Pathology & Clinical Pathology Physician · Indianapolis, IN
NPI 1962624445 · NPPES record last updated May 1, 2015
Key facts
- NPI
- 1962624445
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician 207ZP0102X
- License
- 01063558A (IN)
- Practice address
- 2560 N Shadeland Avenue
Suite a
Indianapolis, IN 46219-1706 - Phone
- (317) 275-8072
- Fax
- (317) 275-8124
- NPI assigned
- May 3, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Pathology
- Education
- Indiana University School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ameripath Indianapolis PC
Practice addresses (Care Compare)
1402 E County Line Rd
Pathology Dept
Indianapolis, IN 46227-0963
Phone (317) 877-7151
2001 W 86TH St
Indianapolis, IN 46260-1902
Phone (317) 338-2345
2560 N Shadeland Ave
Suite a
Indianapolis, IN 46219-1706
Phone (317) 275-8072
2605 N Lebanon St
Lebanon, IN 46052-1476
Phone (317) 275-8000
7150 Clearvista Dr
Indianapolis, IN 46256-1695
Phone (317) 621-6262
8111 S Emerson Ave
Pathology Dept
Indianapolis, IN 46237-8601
Phone (317) 338-2345
8400 Northwest Blvd
Pathology Dept
Indianapolis, IN 46278-1381
Phone (317) 802-2881
Hospital & facility affiliations
- Major Hospital
- Ascension St Vincent Hospital
- Franciscan Health Indianapolis
- Witham Health Services
- Community Hospital North
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070612000647 | IN | Practitioner - Pathology | 1456459650 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01063558A | IN | MD | Cytopathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Major Hospital | Past | Accepting new patients | |
| Ameripath Indianapolis PC | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cytopathology Physician | 207ZC0500X | 01063558A | IN | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 01063558A | IN | Yes |
Addresses
Primary practice location
2560 N Shadeland Avenue
Suite a
Indianapolis, IN 46219-1706
Mailing address
14275 Midway Rd
Suite 400
Addison, TX 75001-3614
Phone (214) 932-8029
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000525387 | Other | IN | ANTHEM |
| 200859910 | Medicaid | IN | |
| I73474 | Other | UPIN | |
| P00406965 | Other | IN | RR MEDICARE |
| 11-00721 | Other | IN | MEDICA |
Other providers in Indianapolis, IN
- Madeline Snyder Klinger
- Dylan Fredrick Klingler
- Carrie G. Klingman
- Robert Klingshirn
- Abigail Charisse Klingsmith
- Josette C. Klink
- Josie Eleanor Klink
- Rachel Klink
- Jessica E Klipsch
- Ryan E Kloboves
All providers in Indianapolis, IN · Anatomic Pathology & Clinical Pathology Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 1, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.