INDIANA NEPHROLOGY AND INTERNAL MEDICINE, P.C. – Nephrology Physician, NPI 1669493722
Nephrology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for INDIANA NEPHROLOGY AND INTERNAL MEDICINE, P.C.
2350 S Dixon Rd Ste 430
Kokomo, IN 469026428
Phone: (765) 453-1205
Fax: (765) 453-6889
Type: Location
8330 Naab Rd Ste 234
Indianapolis, IN 462601932
Phone: (317) 875-0084
Fax: (317) 876-5580
Type: Location
17600 Shamrock Blvd Ste 600B
Westfield, IN 460747002
Phone: (317) 773-0363
Fax: (317) 770-8910
Type: Location
1331 S A St Fl 2
Elwood, IN 460361942
Phone: (317) 773-0363
Fax: (317) 770-8910
Type: Location
165 Sheridan Rd
Noblesville, IN 460601310
Phone: (317) 773-0363
Fax: (317) 770-8910
Type: Location
1805 S Anderson St
Elwood, IN 460363323
Phone: (317) 773-0363
Fax: (317) 770-8910
Type: Location
4021 W Kilgore Ave
Muncie, IN 473044815
Phone: (765) 787-0412
Fax: (765) 787-0413
Type: Location
1601 Medical Arts Blvd Ste 51
Anderson, IN 460113462
Phone: (765) 787-0412
Fax: (765) 787-0413
Type: Location
6826 Madison Ave
Indianapolis, IN 462275000
Phone: (317) 353-8985
Fax: (317) 353-2389
Type: Location
9240 N Meridian St Ste 140
Indianapolis, IN 462602368
Phone: (317) 875-0084
Fax: (317) 876-5580
Type: Location
9011 N Meridian St Ste 225
Indianapolis, IN 46260
Phone: (317) 574-4747
Fax: (317) 574-4737
Type: Location
1051 N State St
Greenfield, IN 461401205
Phone: (317) 353-8985
Fax: (317) 353-2389
Type: Location
13648 Olivia Way
Fishers, IN 460377687
Phone: (317) 353-8985
Fax: (317) 353-2389
Type: Location
8205 E 56th St Ste 250
Indianapolis, IN 462161097
Phone: (317) 353-8985
Fax: (317) 353-2389
Type: Location
2485 N Lebanon St Ste 100
Lebanon, IN 460521186
Phone: (317) 875-0084
Fax: (317) 876-5580
Type: Location
6855 Shore Ter Ste 100
Indianapolis, IN 462544663
Phone: (317) 875-0084
Fax: (317) 876-5580
Type: Location
13914 Southeastern Pkwy Ste 301
Fishers, IN 460377126
Phone: (317) 875-0084
Fax: (317) 876-5580
Type: Location
960 Chester Blvd
Richmond, IN 473742317
Phone: (765) 962-4735
Type: Location
225, North Meridian Street, Indianapolis, Marion, Indiana, 46202, United States
INDIANAPOLIS, IN 462605365
Phone: (317) 574-4747
Fax: (317) 574-4737
Type: Mailing
165 SHERIDAN RD
NOBLESVILLE, IN 460601310
Phone: (317) 773-0363
Fax: (317) 770-8910
Type: Location
9011 N MERIDIAN ST STE 225
INDIANAPOLIS, IN 462605365
Phone: (317) 574-4747
Fax: (317) 574-4737
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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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.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2003-12-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Revalidation scheduled
Earliest CMS due date is 2026-10-31 (141 days away).
Enrollment records
1
Earliest due date
2026-10-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20031218000705 | O | Clinic/Group Practice | IN | 2026-10-31 |
What to do next
- Monitor the published due date as it approaches.
- Plan to revalidate in PECOS within the window CMS allows before the due date.
- Verify the date on the CMS Revalidation Lookup Tool before submitting.
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 46902)
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