MEDICARE: NORTH INDY SURGICAL LLC

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	208600000X	Surgery Physician

General Provider Information

NPI Number	:	1174472211
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTH INDY SURGICAL LLC

Provider Business Mailing Address
First Line	:	2160 W 86TH ST STE 202A
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46260-1908
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2160 W 86TH ST STE 202A
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46260-1908
Country	:	US
Telephone Number	:	317-705-4825
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	KIRPAL SINGH
Credential	:
Telephone Number	:	317-750-4599

Provider Enumeration Date	:	01/22/2026
Last Update Date	:	01/22/2026

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Directions to “NORTH INDY SURGICAL LLC ” Practice Location

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