| Novenza Practice Group II | |
|
1200 N State Road 135 Greenwood IN 46142-1003 | |
| (812) 798-5688 | |
| Not Available |
| Full Name | Novenza Practice Group II |
|---|---|
| Speciality | Internal Medicine |
| Location | 1200 N State Road 135, Greenwood, Indiana |
| Authorized Official Name and Position | Sara Sparks (CHIEF FINANCE OFFICER) |
| Authorized Official Contact | 8127985688 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Novenza Practice Group II 5995 Claybourne Dr Bargersville IN 46106-8393 | Novenza Practice Group II 1200 N State Road 135 Greenwood IN 46142-1003 Ph: (812) 798-5688 |
| NPI Number | 1417806068 |
|---|---|
| Provider Enumeration Date | 01/27/2026 |
| Last Update Date | 01/27/2026 |
| Certification Date | 01/27/2026 |
| Medicare PECOS PAC ID | 3678057312 |
|---|---|
| Medicare Enrollment ID | O20260320001789 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417806068 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (NU) | Primary |
| Provider Name | Steven Delee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407845001 PECOS PAC ID: 1658329461 Enrollment ID: I20050621001018 |
| Provider Name | Jose Lopez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114009149 PECOS PAC ID: 0648205393 Enrollment ID: I20050930000407 |
| Provider Name | Kevin D Neese |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699710319 PECOS PAC ID: 6800867383 Enrollment ID: I20071016000210 |
| Provider Name | Kelly J Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932437514 PECOS PAC ID: 9537296371 Enrollment ID: I20100427000330 |
| Provider Name | Pragneshkumar N Radadiya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548421985 PECOS PAC ID: 4880886621 Enrollment ID: I20110620000655 |
| Provider Name | Thomas E Puckett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346626876 PECOS PAC ID: 0143535252 Enrollment ID: I20150819007161 |
| Provider Name | Nadeem W Najam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982669495 PECOS PAC ID: 9032178934 Enrollment ID: I20181012000679 |
| Provider Name | Dannielle Christine Gilyan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366528820 PECOS PAC ID: 8628305380 Enrollment ID: I20190805000779 |
| Provider Name | Michelle R Killian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588270615 PECOS PAC ID: 9830509710 Enrollment ID: I20201104000694 |
| Provider Name | Tina I Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841998374 PECOS PAC ID: 0749636942 Enrollment ID: I20231024003303 |
| Provider Name | Ashley Carpenter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134900061 PECOS PAC ID: 0345699161 Enrollment ID: I20231205003302 |
| Provider Name | Paul Nosa-oviasu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740662063 PECOS PAC ID: 0446633994 Enrollment ID: I20250812004172 |
| Provider Name | Barbara Harvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427838325 PECOS PAC ID: 1052618394 Enrollment ID: I20260128001650 |
| Provider Name | Christina Hobbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073024261 PECOS PAC ID: 4486120961 Enrollment ID: I20260421003938 |
| Provider Name | Miran Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932056314 PECOS PAC ID: 0143791194 Enrollment ID: I20260610001309 |
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