| Dr Heitor Okanobo, MD | |
|
9998 Crosspoint Blvd Ste 200, Indianapolis, IN 46256-3307 | |
| (317) 579-2150 | |
| (317) 579-2130 |
| Full Name | Dr Heitor Okanobo |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 22 Years |
| Location | 9998 Crosspoint Blvd Ste 200, Indianapolis, Indiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992938716 | NPI | - | NPPES |
| 300124187 | Medicaid | IN | |
| 020279100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | ME119655 (Florida) | Primary |
| 2085R0202X | Radiology - Diagnostic Radiology | 01097980A (Indiana) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sarasota Memorial Hospital | Sarasota, FL | Hospital |
| Sarasota Memorial Hospital - Venice | North venice, FL | Hospital |
| Franciscan Health Indianapolis | Indianapolis, IN | Hospital |
| Community Hospital East | Indianapolis, IN | Hospital |
| Community Hospital North | Indianapolis, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Intercoastal Medical Group Inc | 6305730912 | 176 |
| Mori Bean And Brooks Inc | 8820077878 | 966 |
| Radiology Of Indiana P C | 0648161430 | 122 |
| Tower Imaging Llc | 2860470077 | 95 |
| Decatur County Memorial Hospital | 7315837671 | 128 |
| Radiology Of Indiana P C | 0648161430 | 122 |
| Entity Name | Intercoastal Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578537767 PECOS PAC ID: 6305730912 Enrollment ID: O20040212000600 |
| Entity Name | Tower Imaging LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467654244 PECOS PAC ID: 2860470077 Enrollment ID: O20040713000446 |
| Entity Name | Mori Bean and Brooks Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093782070 PECOS PAC ID: 8820077878 Enrollment ID: O20040714001317 |
| Entity Name | Radiology of Indiana P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992723829 PECOS PAC ID: 0648161430 Enrollment ID: O20200511000187 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Heitor Okanobo, MD 2330 Utah Ave, El Segundo, CA 90245-4817 Ph: (424) 290-8004 | Dr Heitor Okanobo, MD 9998 Crosspoint Blvd Ste 200, Indianapolis, IN 46256-3307 Ph: (317) 579-2150 |
Jack David Markiewicz, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 550 University Blvd, Indianapolis, IN 46202 Phone: 317-278-9729 |
Dr. Caryn C Anderson, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 5901 Technology Center Dr, Indianapolis, IN 46278 Phone: 317-328-4777 Fax: 317-715-9965 |
Dr. Stefan Andrew Hoff, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 9998 Crosspoint Blvd Ste 200, Indianapolis, IN 46256 Phone: 317-806-8260 Fax: 317-806-8296 |
Sean David Gussick, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1701 N Senate Blvd, Radiology Dept, Indianapolis, IN 46202 Phone: 317-962-5740 |
Mark J Paluszny, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 9998 Crosspoint Blvd Ste 200, Indianapolis, IN 46256 Phone: 317-579-2150 Fax: 317-579-2130 |
Angela G Pence, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 9998 Crosspoint Blvd Ste 200, Indianapolis, IN 46256 Phone: 317-579-2150 Fax: 317-579-2130 |
Dr. Hal D Kipfer, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1701 N Senate Blvd, Room 1204a, Indianapolis, IN 46202 Phone: 317-962-6793 Fax: 317-962-8281 |