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INDIANA INTERNAL MEDICINE CONSULTANTS LLC. NPI 1609834357


NPI Information

NPI: 1609834357
Provider Name: INDIANA INTERNAL MEDICINE CONSULTANTS, LLC.
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 15D0354290

Address:
701 E COUNTY LINE RD
SUITE 101
GREENWOOD, IN
ZIP 46143
Phone: (317) 885-2860
Get Directions

INDIANA INTERNAL MEDICINE CONSULTANTS, LLC. is an internal medicine in Greenwood, IN. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. INDIANA INTERNAL MEDICINE CONSULTANTS, LLC. NPI is 1609834357. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

701 E COUNTY LINE RD
SUITE 101
GREENWOOD, IN
ZIP 46143-070
Phone: (317) 885-2860
Fax: (317) 885-2869

The provider's authorized official is Steven M Samuels .
The authorized official title is Executive Board Secretary and has the following contact phone number (317) 885-2860.

The CLIA number assigned to this NPI record is 15D0354290 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 5/3/2006 and was last updated on 3/29/2021.


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
1207Q00000XFamily Medicine50000962AINDIANANo
2207QG0300XFamily MedicineGeriatric Medicine50000962AINDIANANo
3207RC0200XInternal MedicineCritical Care Medicine50000962AINDIANANo
4207RH0002XInternal MedicineHospice and Palliative Medicine50000962AINDIANANo
5207RI0200XInternal MedicineInfectious Disease50000962AINDIANANo
6207RP1001XInternal MedicinePulmonary Disease50000962AINDIANANo
7207RR0500XInternal MedicineRheumatology50000962AINDIANANo
8207RS0012XInternal MedicineSleep Medicine50000962AINDIANANo
9207V00000XObstetrics & Gynecology50000962AINDIANANo
10208000000XPediatrics50000962ANo
11208M00000XHospitalist50000962AINDIANANo
12363LA2100XNurse PractitionerAcute Care50000962AINDIANANo
13363LA2200XNurse PractitionerAdult Health50000962AINDIANANo
14363LF0000XNurse PractitionerFamily50000962AINDIANANo
15207R00000XInternal Medicine50000962AINDIANAYes

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
1100058190MEDICAIDINDIANA

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.