NPIMap

Organization Active NPI

Indiana University Health, Inc

  • Children's Chronic Disease Hospital
  • Indianapolis, IN
National Provider Identifier
1962772905
Registry record updated Jan 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's Chronic Disease HospitalTaxonomy code 281PC2000X
License
71003801A Issued in IN
Legal business name
INDIANA UNIVERSITY HEALTH, INC
Practice address
705 Riley Hospital Dr
Suite 1960
Indianapolis, IN 46202-5109
Phone
(317) 374-8331
Fax
(317) 944-3939
NPI assigned
Jan 9, 2012
Last updated
Jan 9, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2012

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

Authorized official

Name
Mrs. Jennifer Ann Grossi, CPNPNPI 1669019717
Title
Pediatric Nurse Practitioner
Phone
(317) 374-8331

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Children's Chronic Disease Hospital 281PC2000X 71003801A IN Primary

Addresses

Primary practice location

705 Riley Hospital Dr
Suite 1960
Indianapolis, IN 46202-5109

Mailing address

705 Riley Hospital Dr
Suite 1960
Indianapolis, IN 46202-5109
Phone (317) 374-8331

Other identifiers 3

IdentifierTypeStateIssuer
100335320MedicaidIN
100335390MedicaidIN
200340080MedicaidIN

Other names 1

  • Clarian Health Partners, Inc Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Clarian Health - Iu Hospital28 organizations share this tax ID, including this one

Other organizations with this tax ID 27

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

View all 27

Locations

705 Riley Hospital Dr
Ste 1960
Indianapolis, IN 46202
Phone (317) 374-8331

Practitioners & affiliated clinicians

Practitioners 1

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": "1326067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326067200000",
    "number": "1962772905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 RILEY HOSPITAL DR",
            "address_2": "SUITE 1960",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462025109",
            "telephone_number": "317-374-8331",
            "fax_number": "317-944-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 RILEY HOSPITAL DR",
            "address_2": "SUITE 1960",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462025109",
            "telephone_number": "317-374-8331",
            "fax_number": "317-944-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA UNIVERSITY HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-09",
        "last_updated": "2012-01-09",
        "status": "A",
        "authorized_official_last_name": "GROSSI",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PEDIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "317-374-8331",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPNP"
    },
    "taxonomies": [
        {
            "code": "281PC2000X",
            "taxonomy_group": "",
            "desc": "Chronic Disease Hospital, Children",
            "state": "IN",
            "license": "71003801A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100335320",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100335390",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200340080",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clarian Health Partners, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Jan 9, 2012; 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.