| Indianapolis Perioperative Medicine, Llc | |
|
13000 E 136th St Suite 1100 Fishers IN 46037-9478 | |
| (317) 678-3585 | |
| (317) 863-5084 |
| Full Name | Indianapolis Perioperative Medicine, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 13000 E 136th St, Fishers, Indiana |
| Authorized Official Name and Position | Peter Caccavallo (OWNER) |
| Authorized Official Contact | 3176783585 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Indianapolis Perioperative Medicine, Llc 13000 E 136th St Suite 1100 Fishers IN 46037-9478 Ph: (317) 678-3585 | Indianapolis Perioperative Medicine, Llc 13000 E 136th St Suite 1100 Fishers IN 46037-9478 Ph: (317) 678-3585 |
| NPI Number | 1720285976 |
|---|---|
| Provider Enumeration Date | 06/29/2007 |
| Last Update Date | 07/15/2014 |
| Medicare PECOS PAC ID | 7618914706 |
|---|---|
| Medicare Enrollment ID | O20050411000597 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720285976 | NPI | - | NPPES |
| 200424870-A | Medicaid | IN | |
| DE0272 | Other | IN | RR MEDICARE GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 1053181A (Indiana) | Primary |
| Provider Name | Peter P Caccavallo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205987252 PECOS PAC ID: 0143267237 Enrollment ID: I20100819000226 |
| Provider Name | Abigail Williamson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124534367 PECOS PAC ID: 6709147226 Enrollment ID: I20180226001592 |
| Provider Name | Elizabeth Mary Kent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174240592 PECOS PAC ID: 8022485911 Enrollment ID: I20221107000450 |
| Provider Name | Kaicy C James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316609498 PECOS PAC ID: 0446789093 Enrollment ID: I20250127000764 |
Littlewins Aba Therapy, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13997 Avalon East Dr, Fishers, IN 46037 Phone: 317-868-6651 | |
Bio-restore Family Healthcare Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10967 Allisonville Rd Ste 220, Fishers, IN 46038 Phone: 317-578-1220 Fax: 833-228-1102 | |
Integrative Wellness Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10967 Allisonville Rd, Suite 220, Fishers, IN 46038 Phone: 317-288-7420 Fax: 317-288-7470 | |
Community Physicians Of Indiana Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11787 Lantern Rd Ste 200, Fishers, IN 46038 Phone: 317-957-9140 Fax: 317-957-9141 | |
Community Hospitals Of Indiana, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13050 Parkside Dr, Suite 230, Fishers, IN 46038 Phone: 317-621-1500 Fax: 317-621-1509 | |
Md Connect, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9978 Brightwater Dr, Fishers, IN 46038 Phone: 317-809-7743 | |
Westview Delivery System Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9894 E 121st St, Fishers, IN 46037 Phone: 317-621-6060 Fax: 317-355-6965 |