Unknown Individual – Colon & Rectal Surgery Physician, NPI 1053304709

Unknown Individual is a healthcare provider. based in Indianapolis, Indiana. specializing in Colon & Rectal Surgery Physician. They hold a License No. 01023453A (IN). The NPI Number for Unknown Individual is 1053304709

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1053304709
Phone
(317) 889-7906
Address
5255 E STOP 11 RD
Deactivation Date
9 January 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Loading map...

Provider Addresses for Unknown Individual

  • 5255, East Stop 11 Road, Indianapolis, Indiana, 46237, United States

    STE 430

    INDIANAPOLIS, IN 462376340

    Phone: (317) 889-7906

    Fax: (317) 889-7908

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 46237)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1053304709 is assigned to Unknown Individual under the national enumeration system.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Colon & Rectal Surgery Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Indianapolis, Indiana for Unknown Individual; expand the address list for detail.
What if Indianapolis, Indiana seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

Similar Providers

DR. NIKHIL MULJI PATEL (M.D.)

Colon & Rectal Surgery Physician
Dr. Nikhil M. Patel, MD, 13421, Old Meridian Street, Carmel, Hamilton County, Indiana, 46032, United States
NPI: 1881699296

WILLIAM E KELLEY (MD)

Geriatric Medicine (Internal Medicine) Physician
Hocker & Associates, 6626, East 75th Street, Indianapolis, Indiana, 46250, United States
NPI: 1295705416

DR. FREDERICK ROBERT LANE (M.D.)

Colon & Rectal Surgery Physician
PO BOX 781076
NPI: 1376507103

DAVID THOMAS HARRISON (DO)

Colon & Rectal Surgery Physician
8314 EAGLE CREST LN
NPI: 1255396255

BRUCE W ROBB (MD)

Colon & Rectal Surgery Physician
200, North Shadeland Avenue, Indianapolis, Marion, Indiana, 46219, United States
NPI: 1053362137

SAMANTHA KATHLEEN HENDREN (MD)

Colon & Rectal Surgery Physician
1801 N Senate Blvd Ste 635
NPI: 1366479354

COLON & RECTAL CARE INC

Colon & Rectal Surgery Physician
North Shadeland Avenue, Indianapolis, Marion, Indiana, 46226, United States
NPI: 1033222633

DR. RAMA M JAGER (MD, PH.D.)

Colon & Rectal Surgery Physician
931 E 86TH ST STE 107
NPI: 1992874051