Active NPI
David G Sahawneh, FNP-C
- Family Nurse Practitioner
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1-141112
- Practice address
- 4200 S East St
Indianapolis, IN 46227-1534 - Phone
- (317) 991-7600
- NPI assigned
- Dec 17, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1-141112 | AL | Primary |
Addresses
Primary practice location
4200 S East St
Indianapolis, IN 46227-1534
Mailing address
PO Box 746720
Atlanta, GA 30374-6720
Other practice location 1
1845 Cherry St
Montgomery, AL 36107-2613
Phone (334) 420-5001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
5926 Crawfordsville Rd
B
Speedway, IN 46224-3722
Phone (317) 653-2730
Hospital & facility affiliations
- Indiana University Health
- Community Hospital South, Inc.
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-141112 | AL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osh-in Physicians Group, PC | Family | Current | Accepting new patients |
| Major Hospital | Past | Accepting new patients | |
| Oak Street Health Physicians Group, PC | Family | Past | Accepting new patients |
Locations
4200 S East St
Indianapolis, IN 46227
Phone (317) 781-1061
5926 Crawfordsville Rd
#B
Speedway, IN 46224
Phone (317) 653-2730
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1235109778
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1144266024
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713139200000",
"number": "1982175832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 746720",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303746720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4200 S EAST ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462271534",
"telephone_number": "317-991-7600"
}
],
"practiceLocations": [
{
"address_1": "1845 Cherry St",
"address_purpose": "LOCATION",
"city": "Montgomery",
"state": "AL",
"postal_code": "361072613",
"country_code": "US",
"telephone_number": "334-420-5001",
"fax_number": "334-264-4353",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SAHAWNEH",
"first_name": "DAVID",
"middle_name": "G",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-12-17",
"last_updated": "2024-04-15",
"certification_date": "2024-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-141112",
"primary": true
}
],
"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 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.