| Cityblock Medical Practice, P.A. | |
|
2620 Kessler Boulevard East Dr Ste 110 Indianapolis IN 46220-2889 | |
| (800) 336-1100 | |
| Not Available |
| Full Name | Cityblock Medical Practice, P.A. |
|---|---|
| Speciality | Internal Medicine |
| Location | 2620 Kessler Boulevard East Dr Ste 110, Indianapolis, Indiana |
| Authorized Official Name and Position | Oluwatoyin Ajayi (PRESIDENT) |
| Authorized Official Contact | 3474011399 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cityblock Medical Practice, P.A. 495 Flatbush Ave Brooklyn NY 11225-3706 Ph: (833) 904-2273 | Cityblock Medical Practice, P.A. 2620 Kessler Boulevard East Dr Ste 110 Indianapolis IN 46220-2889 Ph: (800) 336-1100 |
| NPI Number | 1588296784 |
|---|---|
| Provider Enumeration Date | 02/06/2020 |
| Last Update Date | 09/14/2026 |
| Certification Date | 09/14/2026 |
| Medicare PECOS PAC ID | 0840670592 |
|---|---|
| Medicare Enrollment ID | O20220712001279 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588296784 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 207R00000X | Internal Medicine | () | Primary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | () | Secondary |
| Provider Name | Steven Schneider |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871559385 PECOS PAC ID: 0446225635 Enrollment ID: I20041110000789 |
| Provider Name | Michael E Person |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659373595 PECOS PAC ID: 3678506490 Enrollment ID: I20050913000632 |
| Provider Name | Tracey W Alphin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194094375 PECOS PAC ID: 4385810076 Enrollment ID: I20111230000050 |
| Provider Name | Amy Mayernik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255770749 PECOS PAC ID: 1456595032 Enrollment ID: I20130920000695 |
| Provider Name | Alexa Chapman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629472840 PECOS PAC ID: 9931426186 Enrollment ID: I20150326001888 |
| Provider Name | Jaime Bristow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598250797 PECOS PAC ID: 5698029726 Enrollment ID: I20181108001437 |
| Provider Name | Latoyia Austin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336678192 PECOS PAC ID: 4789917501 Enrollment ID: I20190611001558 |
| Provider Name | Oluwatoyin T Ajayi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790912426 PECOS PAC ID: 7517115298 Enrollment ID: I20220712001146 |
| Provider Name | Tracey Brebner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386665271 PECOS PAC ID: 0547362584 Enrollment ID: I20231212002685 |
| Provider Name | Britt-marie Cables |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164791851 PECOS PAC ID: 0941465934 Enrollment ID: I20231213000227 |
| Provider Name | Stephen Kelly |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558504258 PECOS PAC ID: 7113185117 Enrollment ID: I20231213003878 |
| Provider Name | Andrew Keyser |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225442023 PECOS PAC ID: 8921375130 Enrollment ID: I20231214000411 |
| Provider Name | David Gurley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457577751 PECOS PAC ID: 1355433780 Enrollment ID: I20231214000872 |
| Provider Name | Sophia Hammonds |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417330085 PECOS PAC ID: 3678874724 Enrollment ID: I20231214002992 |
| Provider Name | Janie Cloin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184840225 PECOS PAC ID: 3274625645 Enrollment ID: I20231215001399 |
| Provider Name | William Jackson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316068497 PECOS PAC ID: 3274600580 Enrollment ID: I20231215002078 |
| Provider Name | Stephanie Lennon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487713947 PECOS PAC ID: 9133120207 Enrollment ID: I20231218000334 |
| Provider Name | Amir Darvish |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386717783 PECOS PAC ID: 2567557952 Enrollment ID: I20231218001503 |
| Provider Name | Kameron Matthews |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902028822 PECOS PAC ID: 0749461317 Enrollment ID: I20231218001630 |
| Provider Name | Philip Jocelyn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841622784 PECOS PAC ID: 3476788092 Enrollment ID: I20231218001912 |
| Provider Name | Dhruva Kothari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063771574 PECOS PAC ID: 6305149154 Enrollment ID: I20231218002323 |
| Provider Name | Vera Mccullen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962734616 PECOS PAC ID: 0042342768 Enrollment ID: I20231218002362 |
| Provider Name | Ruby Mehta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063813897 PECOS PAC ID: 0547652554 Enrollment ID: I20231218002477 |
| Provider Name | Pooja Mehta |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083841316 PECOS PAC ID: 4880837848 Enrollment ID: I20231218003148 |
| Provider Name | Phyllis Young |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689785156 PECOS PAC ID: 2961459615 Enrollment ID: I20231219000458 |
| Provider Name | Holly Oh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063497311 PECOS PAC ID: 4284765744 Enrollment ID: I20231219001204 |
| Provider Name | Rebecca Simons |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285767459 PECOS PAC ID: 3476539271 Enrollment ID: I20231219001288 |
| Provider Name | Jessica Ramos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043704851 PECOS PAC ID: 9133462922 Enrollment ID: I20231219001514 |
| Provider Name | Samamtha Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033340377 PECOS PAC ID: 9436297645 Enrollment ID: I20231219002557 |
| Provider Name | Alice Robertson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669854287 PECOS PAC ID: 4284060864 Enrollment ID: I20231220001616 |
| Provider Name | Michael Tang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598932097 PECOS PAC ID: 8729259197 Enrollment ID: I20231226001076 |
| Provider Name | Daniel Mcguire |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083181085 PECOS PAC ID: 0446599476 Enrollment ID: I20231228001053 |
| Provider Name | Snehal Patel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528306586 PECOS PAC ID: 9436469657 Enrollment ID: I20240102003983 |
| Provider Name | Bianca Osakwe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649638388 PECOS PAC ID: 0749570299 Enrollment ID: I20240112000903 |
| Provider Name | Bennie Taylor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154777019 PECOS PAC ID: 4486941101 Enrollment ID: I20240116001881 |
| Provider Name | Courtney Mathews |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407465933 PECOS PAC ID: 8820440514 Enrollment ID: I20240118001051 |
| Provider Name | Sarah Updegraff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730671462 PECOS PAC ID: 6103171293 Enrollment ID: I20240119000668 |
| Provider Name | Stacy Abrams |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386714491 PECOS PAC ID: 0749230530 Enrollment ID: I20240125003857 |
| Provider Name | Megan Tosato |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831628569 PECOS PAC ID: 4082987078 Enrollment ID: I20240318001791 |
| Provider Name | Rina Garcia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841415718 PECOS PAC ID: 5496841918 Enrollment ID: I20240730000901 |
| Provider Name | Devawn Michelle Florence |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578842647 PECOS PAC ID: 4284166448 Enrollment ID: I20241014002672 |
| Provider Name | Alexis Diaz-ramos |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669836706 PECOS PAC ID: 0345537361 Enrollment ID: I20241213000919 |
| Provider Name | Laura Connor |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366875064 PECOS PAC ID: 3971732330 Enrollment ID: I20250130001037 |
| Provider Name | Victoria Beltramo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235735192 PECOS PAC ID: 1153867197 Enrollment ID: I20250308000026 |
| Provider Name | Diamond Mcclam |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376241935 PECOS PAC ID: 5395266225 Enrollment ID: I20250308000134 |
| Provider Name | Sherri Parker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356304968 PECOS PAC ID: 4880594621 Enrollment ID: I20250313001146 |
| Provider Name | Maria Palar |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629699988 PECOS PAC ID: 0840712931 Enrollment ID: I20250318002673 |
| Provider Name | Ericka Witek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730956210 PECOS PAC ID: 5991228058 Enrollment ID: I20250404001546 |
| Provider Name | Sunil Shroff |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164457875 PECOS PAC ID: 8224929831 Enrollment ID: I20250408002089 |
| Provider Name | Sam Crowning |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285182766 PECOS PAC ID: 1153600168 Enrollment ID: I20250410001345 |
| Provider Name | Ricky Michel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396079562 PECOS PAC ID: 3375938673 Enrollment ID: I20250415003441 |
| Provider Name | Yavar Moghimi |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1982879185 PECOS PAC ID: 8325216294 Enrollment ID: I20250502000416 |
| Provider Name | Maria Duda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033315759 PECOS PAC ID: 9133213937 Enrollment ID: I20250617004175 |
| Provider Name | Sherree Mccool |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104354257 PECOS PAC ID: 5799041059 Enrollment ID: I20250701000940 |
| Provider Name | William Garcia |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952728156 PECOS PAC ID: 0446527055 Enrollment ID: I20250818000513 |
| Provider Name | Angel Colon-molero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063415727 PECOS PAC ID: 3971018813 Enrollment ID: I20250829003602 |
| Provider Name | Ashley Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124578513 PECOS PAC ID: 4688954431 Enrollment ID: I20251023004044 |
| Provider Name | Laura Sander |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386806966 PECOS PAC ID: 2264608363 Enrollment ID: I20260114004083 |
| Provider Name | Ashley Bell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336432046 PECOS PAC ID: 6305018649 Enrollment ID: I20260204001647 |
| Provider Name | Lubna Qasim |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891408068 PECOS PAC ID: 9234587155 Enrollment ID: I20260410002567 |
| Provider Name | Stephanie St Fleur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992381073 PECOS PAC ID: 0941725493 Enrollment ID: I20260522001344 |
| Provider Name | Nancy Prantl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205203098 PECOS PAC ID: 7214246545 Enrollment ID: I20260611001481 |
| Provider Name | Laura Androski Santoso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033679246 PECOS PAC ID: 6709243116 Enrollment ID: I20260615002900 |
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