MEDICARE: PULMONARY MEDICAL ASSOCIATES, P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RP1001X	Pulmonary Disease Physician
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician

General Provider Information

NPI Number	:	1720107329
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PULMONARY MEDICAL ASSOCIATES, P.C.

Provider Business Mailing Address
First Line	:	1400 N RITTER AVE
Second Line	:	SUITE 375
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46219-3052
Country	:	US
Telephone Number	:	317-621-2740
Fax Number	:	317-621-5658

Provider Business Practice Location Address
First Line	:	7250 CLEARVISTA DR
Second Line	:	STE 120
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46256-4692
Country	:	US
Telephone Number	:	317-621-2740
Fax Number	:	317-621-5658

Authorized Official
Title or Position	:	PRACTICE MANAGER
Name	:	SANDY S HARDEN
Credential	:
Telephone Number	:	317-621-2740

Provider Enumeration Date	:	03/28/2007
Last Update Date	:	09/11/2025

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