| Sanjay Mohindra, MD | |
|
1701 S Creasy Ln, Lafayette, IN 47905-4972 | |
| (765) 446-4819 | |
| (765) 446-4859 |
| Full Name | Sanjay Mohindra |
|---|---|
| Gender | Male |
| Speciality | Radiology - Vascular & Interventional Radiology |
| Location | 1701 S Creasy Ln, Lafayette, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881649176 | NPI | - | NPPES |
| 200542580 | Medicaid | IN | |
| 000000520644 | Other | IN | ANTHEM |
| P00414277 | Other | IN | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 01060957A (Indiana) | Secondary |
| 2085R0204X | Radiology - Vascular & Interventional Radiology | 01060957A (Indiana) | Primary |
| Entity Name | Dialysis Vascular Specialists Of Indiana Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770220972 PECOS PAC ID: 5092194068 Enrollment ID: O20220622000415 |
| Entity Name | Indiana Vascular Surgery Center Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1053058255 PECOS PAC ID: 7517339286 Enrollment ID: O20230206001191 |
| Mailing Address | Practice Location Address |
|---|---|
| Sanjay Mohindra, MD 201 North Illinois St, 16th Floor - South Tower, Indianapolis, IN 46204-4218 Ph: (765) 446-4819 | Sanjay Mohindra, MD 1701 S Creasy Ln, Lafayette, IN 47905-4972 Ph: (765) 446-4819 |
Katharine L Krol, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2403 Loy Dr, Lafayette, IN 47909 Phone: 765-448-8000 Fax: 765-446-4351 | |
Rodney A Dunseath, DO Radiology Medicare: Medicare Enrolled Practice Location: 2403 Loy Dr, Lafayette, IN 47909 Phone: 765-448-8000 Fax: 765-446-4351 | |
Mark Curtis Arvin, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 5165 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8000 | |
Matthew Orton, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 420 N 26th St, Lafayette, IN 47904 Phone: 765-448-8000 Fax: 765-448-7599 | |
Erika J Ugianskis, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2600 Greenbush St, Lafayette, IN 47904 Phone: 765-448-8000 | |
Bedatri Sinha, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1425 Unity Pl, Lafayette, IN 47905 Phone: 765-447-7460 Fax: 765-447-8396 | |
Peter Simmons, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1411 S Creasy Ln, Suite 130, Lafayette, IN 47905 Phone: 765-447-7447 Fax: 765-447-1767 |