| Dr Raufu Adefemi Lasisi, MD | |
|
550 University Blvd, Indianapolis, IN 46202-5149 | |
| (317) 948-0762 | |
| Not Available |
| Full Name | Dr Raufu Adefemi Lasisi |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 28 Years |
| Location | 550 University Blvd, 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 |
|---|---|---|---|
| 1447419858 | NPI | - | NPPES |
| 200311740H | Other | IN | HPN MEDICAID GROUP#/LOCATION |
| 200980210 | Medicaid | IN | |
| 205110 | Other | HPN MEDICARE GROUP# | |
| 000000708549 | Other | IN | ANTHEM PROVIDER NUMBER / TIN 35-2030653 |
| 000000672592 | Other | HPN ANTHEM PIN# |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 11013709A (Indiana) | Secondary |
| 208M00000X | Hospitalist | 01067846A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Indiana University Health Arnett Hospital | Lafayette, IN | Hospital |
| Indiana University Health White Memorial Hospital | Monticello, IN | Hospital |
| Indiana University Health Frankfort Inc | Frankfort, IN | Hospital |
| Indiana University Health | Indianapolis, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Iu Health Medical Group Llc | 9638617913 | 4382 |
| Arnett Clinic Llc | 0749184380 | 401 |
| Entity Name | Arnett Clinic LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164490843 PECOS PAC ID: 0749184380 Enrollment ID: O20031125000119 |
| Entity Name | Hospitalist Physicians of Indiana PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306576277 PECOS PAC ID: 1052795986 Enrollment ID: O20220826000967 |
| Entity Name | Iu Health Medical Group, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326893777 PECOS PAC ID: 9638617913 Enrollment ID: O20240817000533 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Raufu Adefemi Lasisi, MD 8910 Purdue Rd, Ste 500, Indianapolis, IN 46268-3161 Ph: Not Available | Dr Raufu Adefemi Lasisi, MD 550 University Blvd, Indianapolis, IN 46202-5149 Ph: (317) 948-0762 |
Brian T Robinson, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1701 N Senate Blvd, Indianapolis, IN 46202 Phone: 317-962-8776 |
Rafael Samuel Garcia-cortes, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 8333 Naab Rd Ste 420, Indianapolis, IN 46260 Phone: 317-338-6666 |
John J. Anagnostou Jr., DO Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 2001 W 86th St, Indianapolis, IN 46260 Phone: 317-338-3634 |
Andrew Meillier, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1500 N Ritter Ave, Indianapolis, IN 46219 Phone: 317-355-1411 |
Jasjit Kaur Mudhar, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1402 E County Line Rd, Indianapolis, IN 46227 Phone: 317-887-7805 |
Dr. Marie Cecilia Lewis, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2001 W 86th St, Indianapolis, IN 46260 Phone: 317-338-3634 |
Kirby Douglas Slifer, DO Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1701 N Senate Blvd, Indianapolis, IN 46202 Phone: 317-962-5820 Fax: 317-962-3916 |