KATHERINE IRENE BOONE NPI 1215196241

NPI Information

  • NPI: 1215196241
  • Provider Name: KATHERINE IRENE BOONE
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5255 E STOP 11 RD STE 450
    INDIANAPOLIS, IN
    ZIP 46237
  • Phone: (317) 865-4800

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NPI Details

Katherine Irene Boone is a surgical physician assistant in Indianapolis, IN with 18 years of experience. Katherine Irene Boone NPI is 1215196241. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5255 E STOP 11 RD STE 450
INDIANAPOLIS, IN
ZIP 46237-342
Phone: (317) 865-4800
Fax: (317) 865-4806

The NPI 1215196241 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of gallbladder using an endoscope (HCPCS:47562)

The enumeration date for this NPI number is 6/5/2008 and was last updated on 3/21/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AS0400XPhysician AssistantSurgical99032721AINDIANANo
2363AS0400XPhysician AssistantSurgical10001000AINDIANAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1300007527MEDICAIDINDIANA
2M400063087OTHERINDIANAMEDICARE

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: 11/21/2025

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