Healthcare Provider Details

I. General information

NPI: 1942268172
Provider Name (Legal Business Name): ROBERTO FERREIRA P. MACHADO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: ROBERTO F. MACHADO MD

II. Dates (important events)

Enumeration Date: 05/04/2006
Last Update Date: 10/08/2025
Certification Date: 10/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1801 N. SENATE BLVD SUITE 2000
INDIANAPOLIS IN
46202
US

IV. Provider business mailing address

250 N SHADELAND AVE
INDIANAPOLIS IN
46219-4959
US

V. Phone/Fax

Practice location:
  • Phone: 317-962-9700
  • Fax: 317-962-9657
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number01079162A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number036121915
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberD0061103
License Number StateMD
# 4
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number01079162A
License Number StateIN
# 5
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberD0061103
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: