DR. NATRAJ REDDY AMMAKKANAVAR (NPI# 1376850461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376850461 |
| Entity Type | Individual |
| Full Name | DR. NATRAJ REDDY AMMAKKANAVAR |
| Credential | M.D |
| Practice Address |
7979 N Shadeland Ave Ste 200 Indianapolis IN 46250-2042 |
| Mailing Address |
6626 E 75th St Ste 500 Indianapolis IN 46250-2890 |
| Practice Telephone | 3176214300 |
| Practice Fax Number | 3176214301 |
| Mailing Telephone | 3176214300 |
| Mailing Fax Number | 3176214301 |
| Enumeration Date | 2010-09-10 |
| Last Update Date | 2020-10-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0000X |
Internal Medicine Specialization: Hematology |
01070925A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | RAILROAD MEDICARE | P01512377 | 01 |
| IN | RR MEDICARE | P01751209 | 01 |
| IN | ANTHEM | 000000943086 | 01 |
| IN | 201125110 | 05 |
| Street Address |
7979 N SHADELAND AVE STE 200 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46250-2042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437153913 | Michael W Method | Obstetrics & Gynecology | 7979 N Shadeland Ave, Ste 310, Indianapolis, IN 46250-2042 | 2005-06-13 |
| 1407457047 | Morgan Corbin | Pharmacist | 7979 N Shadeland Ave, Indianapolis, IN 46250-2042 | 2020-11-02 |
| 1659819761 | Visionary Enterprises Inc | Prosthetic/Orthotic Supplier | 7979 N Shadeland Ave, Suite 110, Indianapolis, IN 46250-2042 | 2017-02-09 |
| 1134671340 | Jenna R Pulfer | Nurse Practitioner | 7979 N Shadeland Ave, Ste 200, Indianapolis, IN 46250-2042 | 2016-11-04 |
| 1477928349 | Sarah Elizabeth Rayner | Nurse Practitioner | 7979 N Shadeland Ave, Ste 200, Indianapolis, IN 46250-2042 | 2015-12-03 |
| 1699182352 | Courtney L Buratto | Nurse Practitioner | 7979 N Shadeland Ave, Ste 200, Indianapolis, IN 46250-2042 | 2014-07-15 |
| 1083029474 | Lindsey M Addington | Nurse Practitioner | 7979 N Shadeland Ave, Ste 200, Indianapolis, IN 46250-2042 | 2014-06-25 |
| 1902211204 | Ashley E Regal | Nurse Practitioner | 7979 N Shadeland Ave, Ste 200, Indianapolis, IN 46250-2042 | 2014-06-25 |
| 1164861944 | Sandra S Staehler | Nurse Practitioner | 7979 N Shadeland Ave, Ste 200, Indianapolis, IN 46250-2042 | 2013-06-14 |
| 1801231931 | Samantha N. Davis | Physician Assistant | 7979 N Shadeland Ave, Suite 310, Indianapolis, IN 46250-2042 | 2013-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861037004 | Angela L Davis | Pharmacist | 8520 Bash St, Indianapolis, IN 46250 | 2019-11-12 |
| 1710455738 | Physicians Wellness Associates LLC | Family Medicine | 4735 Statesmen Drive, Suite C, Indianapolis, IN 46250 | 2018-11-07 |
| 1891222584 | Confidential Drug LLC | Pharmacy | 8520 Bash St Ste D, Indianapolis, IN 46250 | 2017-05-12 |
| 1659813590 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 8257 Center Run Rd, Indianapolis, IN 46250 | 2016-11-09 |
| 1194275669 | Lucina Treatment Center, LLC | Internal Medicine | 8140 Castleton Rd, Indianapolis, IN 46250 | 2016-10-09 |
| 1609126150 | Joseph Lee Deck | Physical Therapist | 7400 Jewel Lane, Indianapolis, IN 46250 | 2012-09-12 |
| 1447508254 | Choices Coordinated Care Solutions, Inc. | Clinic/Center | 7941 Castleway Drive, Indianapolis, IN 46250 | 2012-08-28 |
| 1568719854 | Lynda L. Blackwelder, LLC | Marriage & Family Therapist | 4735 Statesmen Dr., Suite A, Indianapolis, IN 46250 | 2012-08-06 |
| 1972859452 | Courtney B. Cortez | Nurse Practitioner | 12400 N Meridian Ste 100, Suite 500, Indianapolis, IN 46250 | 2012-08-02 |
| 1861761934 | Kb Medical, Inc. | Durable Medical Equipment & Medical Supplies | 8455, Castlewood Drive, Suite J, Idianapolis, IN 46250 | 2011-12-20 |
| Find all providers in zip 46250 | ||||
| Taxonomy Code | 207RH0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology |
| An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548727845 | American Oncology Partners, P.a. | Internal Medicine | 8550 Naab Rd Ste 205, Indianapolis, IN 46260-2092 | 2019-02-23 |
| 1447523337 | Leo J Mccarthy | Internal Medicine | 7480 Holliday Drive East, Indianapolis, IN 46260 | 2012-02-23 |
| 1124102231 | Utpal P Dave | Internal Medicine | 535 Barnhill Drive, Indianapolis, IN 46202-5112 | 2006-10-25 |
| 1811453640 | American Oncology Partners, P.a. | Internal Medicine | 8301 Harcourt Rd Ste 200, Indianapolis, IN 46260-2082 | 2019-02-18 |
| 1851430862 | Seyed Hamid Sayar | Internal Medicine | 1030 W Michigan St, Indianapolis, IN 46202-5201 | 2007-02-06 |
| 1881750313 | Naveen Manchanda | Internal Medicine | 550 University Blvd, 5th Floor, Indianapolis, IN 46202-5149 | 2006-12-29 |
| 1801847603 | Ann M Hedderman | Internal Medicine | 8301 Harcourt Rd Ste 200, Indianapolis, IN 46260-2082 | 2006-05-15 |
| 1750346755 | Rafat Abonour | Internal Medicine | 535 Barnhill Dr, R3 C400, Indianapolis, IN 46202-5116 | 2006-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124585476 | American Oncology Partners, P.a. | Internal Medicine | 2505 N Lebanon St Ste 125, Lebanon, IN 46052-8615 | 2019-02-22 |
| 1598222846 | American Oncology Partners, P.a. | Internal Medicine | 13914 Southeastern Pkwy Ste 203a, Fishers, IN 46037-7125 | 2019-02-22 |
| 1154449528 | John Alexander Cavins | Internal Medicine | 36 Twinshore Ct, Carmel, IN 46033 | 2007-03-26 |
| 1881686848 | Hillary H Wu | Internal Medicine | 6845 Rama Dr, Indianapolist, IN 46219-1707 | 2005-08-16 |
| 1063404002 | Thomas L Whittaker | Internal Medicine | One Memorial Sq, Ste 50, Greenfield, IN 46140-1357 | 2005-08-16 |
| 1336146372 | Karuna S Koneru | Internal Medicine | 514 W 2nd St, Bloomington, IN 47403-2316 | 2005-07-06 |
| 1932666286 | American Oncology Partners, P.a. | Internal Medicine | 395 Westfield Rd, Noblesville, IN 46060-1425 | 2019-02-22 |
| 1063979318 | American Oncology Partners, P.a. | Internal Medicine | 1025 Michigan Ave, Logansport, IN 46947-1593 | 2019-02-22 |
| 1710212147 | Pavan Mahendra Ravella | Internal Medicine | 420 N 26th St, Lafayette, IN 47904-2848 | 2009-10-02 |
| 1356577985 | Deaconess Clinic, Inc | Internal Medicine | 4055 Gateway Blvd, Newburgh, IN 47630-8947 | 2009-06-10 |
| Find all providers with the same taxonomy | ||||
| City | INDIANAPOLIS |
| Zip Code | 46250 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.