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NPI Code Detail

MEDICARE: IU HEALTH MEDICAL GROUP, LLC

MEDICARE: IU HEALTH MEDICAL GROUP, 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
11041C0700XClinical Social Worker
2363LF0000XFamily Nurse Practitioner
3363L00000XNurse Practitioner
4363A00000XPhysician Assistant
5367500000XCertified Registered Nurse Anesthetist
6208D00000XGeneral Practice Physician

General Provider Information

NPI Number : 1326893777
Entity Type Code : Organization
Provider Name (Legal Business Name) : IU HEALTH MEDICAL GROUP, LLC
Provider Business Mailing Address
First Line : 250 N SHADELAND AVE
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46219-4959
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1701 N SENATE BLVD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46202-1239
Country : US
Telephone Number : 317-962-2000
Fax Number :
Authorized Official
Title or Position : CFO
Name : CHRISTINE SMITH
Credential :
Telephone Number : 317-908-4184
Provider Enumeration Date : 04/19/2024
Last Update Date : 06/18/2026

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Directions to “IU HEALTH MEDICAL GROUP, LLC ” Practice Location

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