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UNIVERSITY PEDIATRIC ASSOCIATES INC. NPI 1457396541


NPI Information

NPI: 1457396541
Provider Name: UNIVERSITY PEDIATRIC ASSOCIATES, INC.
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 15D2218878

Address:
705 RILEY HOSPITAL DR
RR 127
INDIANAPOLIS, IN
ZIP 46202
Phone: (317) 777-6435
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UNIVERSITY PEDIATRIC ASSOCIATES, INC. is a pediatrics in Indianapolis, IN. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. UNIVERSITY PEDIATRIC ASSOCIATES, INC. NPI is 1457396541. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

705 RILEY HOSPITAL DR
RR 127
INDIANAPOLIS, IN
ZIP 46202-109
Phone: (317) 777-6435
Fax: (317) 777-6644

The provider's authorized official is Laura S Haneline .
The authorized official title is Secretary - Treasurer and has the following contact phone number (317) 777-6435.

The CLIA number assigned to this NPI record is 15D2218878 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/20/2006 and was last updated on 11/2/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363L00000XNurse PractitionerNo
2208000000XPediatricsYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1100382090MEDICAIDINDIANA
2200026880MEDICAIDINDIANA
3144666MEDICAIDALABAMA
4200026890MEDICAIDINDIANA
51011388MEDICAIDVERMONT
6097150200MEDICAIDFLORIDA
71510084MEDICAIDTENNESSEE
83810016815MEDICAIDWEST VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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