MEDICARE: INDY METRO LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	332BD1200X	Dialysis Equipment & Supplies (DME)
2	332BN1400X	Nursing Facility Supplies (DME)
3	332BX2000X	Oxygen Equipment & Supplies (DME)
4	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1457148900
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INDY METRO LLC

Provider Business Mailing Address
First Line	:	5845 SUNNYSIDE RD STE 800
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46235-8404
Country	:	US
Telephone Number	:	317-200-8475
Fax Number	:	317-593-0007

Provider Business Practice Location Address
First Line	:	5845 SUNNYSIDE RD STE 800
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46235-8404
Country	:	US
Telephone Number	:	317-200-8475
Fax Number	:	317-593-0007

Authorized Official
Title or Position	:	OWNER
Name	:	RACHEL DAVIS
Credential	:
Telephone Number	:	317-200-8475

Provider Enumeration Date	:	04/21/2025
Last Update Date	:	04/21/2025

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Directions to “INDY METRO LLC ” Practice Location

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