Impact Physician Group, Indiana Llc - Medicare Primary Care in Carmel, IN

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Impact Physician Group, Indiana Llc is a medicare enrolled primary clinic (Internal Medicine) in Carmel, Indiana. The current practice location for Impact Physician Group, Indiana Llc is 1260 City Center Dr, Carmel, Indiana. For appointments, you can reach them via phone at (463) 333-9110. The mailing address for Impact Physician Group, Indiana Llc is 21 Eastbrook Bnd Ste 218, Peachtree City, Georgia and phone number is (678) 967-5599.

Impact Physician Group, Indiana Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1568930220. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (463) 333-9110.

Contact Information

Impact Physician Group, Indiana Llc
1260 City Center Dr
Carmel
IN 46032-3810
(463) 333-9110
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameImpact Physician Group, Indiana Llc
SpecialityInternal Medicine
Location1260 City Center Dr, Carmel, Indiana
Authorized Official Name and PositionPaul Miller (CEO)
Authorized Official Contact6789675599
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Impact Physician Group, Indiana Llc
21 Eastbrook Bnd Ste 218
Peachtree City
GA 30269-1546

Ph: (678) 967-5599		Impact Physician Group, Indiana Llc
1260 City Center Dr
Carmel
IN 46032-3810

Ph: (463) 333-9110

NPI Details:

NPI Number1568930220
Provider Enumeration Date11/10/2018
Last Update Date12/19/2022

Medicare PECOS Information:

Medicare PECOS PAC ID6608111026
Medicare Enrollment IDO20181212003675

Medical Identifiers

Medical identifiers for Impact Physician Group, Indiana Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568930220NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine (* (Not Available))Primary
207RE0101XInternal Medicine - Endocrinology, Diabetes & Metabolism (* (Not Available))Secondary
207RG0100XInternal Medicine - Gastroenterology (* (Not Available))Secondary
207RP1001XInternal Medicine - Pulmonary Disease (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Impact Physician Group, Indiana Llc acts as a billing entity for following providers:
Provider NameAnil V Yadav
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1861457368
PECOS PAC ID: 7911800255
Enrollment ID: I20040202000613
Provider NameAmjad Idris Mufti
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1700888914
PECOS PAC ID: 3173588167
Enrollment ID: I20041201000824
Provider NameLisa Sue Jones
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336197672
PECOS PAC ID: 1759307903
Enrollment ID: I20051018000514
Provider NameSohail Ahmed Usman
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1568495513
PECOS PAC ID: 2163529983
Enrollment ID: I20070512000014
Provider NameZulfiqar A Mirza
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1518021773
PECOS PAC ID: 7315039864
Enrollment ID: I20070828001031
Provider NameTahir I Mufti
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1417053521
PECOS PAC ID: 0345421806
Enrollment ID: I20110225000166
Provider NameMohsina Kashif
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1104089234
PECOS PAC ID: 2961664719
Enrollment ID: I20120424000621
Provider NameMuddassir Aliniazee
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1912133653
PECOS PAC ID: 4587810338
Enrollment ID: I20140117001046
Provider NameRobert M Hays
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1043530165
PECOS PAC ID: 7315184306
Enrollment ID: I20140804002337
Provider NameKamran Quraishi
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1417175068
PECOS PAC ID: 0648361568
Enrollment ID: I20150220002044
Provider NameSaif Choudhury
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1447540943
PECOS PAC ID: 7012133812
Enrollment ID: I20150220002156
Provider NameRavinderpal Nandra
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1639358427
PECOS PAC ID: 7911052162
Enrollment ID: I20150223001334
Provider NameZubair Khan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1134416019
PECOS PAC ID: 0840410403
Enrollment ID: I20150306002256
Provider NameMuhammad Yasin
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1508004094
PECOS PAC ID: 2769652429
Enrollment ID: I20150506001691
Provider NameSheryar Sarwar
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1730426958
PECOS PAC ID: 0941500714
Enrollment ID: I20151201000068
Provider NameHaris Adnan Siraj
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1982045902
PECOS PAC ID: 4183913361
Enrollment ID: I20160511000593
Provider NameJibran K Durrani
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1750797262
PECOS PAC ID: 8527378850
Enrollment ID: I20170509001514
Provider NameDavid Marwa Runana
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700311529
PECOS PAC ID: 1658645718
Enrollment ID: I20170928000621
Provider NameWinona B Pitts
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912485038
PECOS PAC ID: 1557605136
Enrollment ID: I20181208000393
Provider NameAhmad Al-najjar
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1912214818
PECOS PAC ID: 9830323641
Enrollment ID: I20190906002487
Provider NameSabrina Stanley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659927986
PECOS PAC ID: 3173950201
Enrollment ID: I20200228002477
Provider NameDenise Michelle Alexander
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821615485
PECOS PAC ID: 1951729789
Enrollment ID: I20200910002782
Provider NameVicky Jo Gross
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811590623
PECOS PAC ID: 9234532797
Enrollment ID: I20210722000244
Provider NameKamran Hussaini
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1215347125
PECOS PAC ID: 5597067918
Enrollment ID: I20211019000431
Provider NameSai Prashanth Babu Palepu
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1558673152
PECOS PAC ID: 3072757616
Enrollment ID: I20211019000525
Provider NameZahid Saqib
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1710063292
PECOS PAC ID: 4688619422
Enrollment ID: I20220321001859
Provider NameAshley Garrett
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407593171
PECOS PAC ID: 8123406105
Enrollment ID: I20220602002981
Provider NameHaroon Haque
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1295298958
PECOS PAC ID: 4183953755
Enrollment ID: I20220728003200
Provider NameKathy A Zach
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073004495
PECOS PAC ID: 1557747672
Enrollment ID: I20220927002644
Provider NameTaki Rida
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1760834147
PECOS PAC ID: 9931485059
Enrollment ID: I20230502001690

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.