| Novenza Practice Group | |
|
5224 S East St Suite 9 Indianapolis IN 46227-1985 | |
| (317) 781-3604 | |
| (317) 780-3353 |
| Full Name | Novenza Practice Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 5224 S East St, Indianapolis, Indiana |
| Authorized Official Name and Position | Sara Sparks (CFO) |
| 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 Po Box 773463 Detroit MI 48277-3140 | Novenza Practice Group 5224 S East St Suite 9 Indianapolis IN 46227-1985 Ph: (317) 781-3604 |
| NPI Number | 1609268259 |
|---|---|
| Provider Enumeration Date | 02/19/2015 |
| Last Update Date | 02/11/2026 |
| Certification Date | 02/11/2026 |
| Medicare PECOS PAC ID | 5698092732 |
|---|---|
| Medicare Enrollment ID | O20150330000164 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609268259 | NPI | - | NPPES |
| 201291940A | Medicaid | IN | |
| DV6439 | Other | IN | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (NU) | Primary |
| Provider Name | Jane Paino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497837363 PECOS PAC ID: 4688578610 Enrollment ID: I20031121000399 |
| Provider Name | John Edwin Albrecht |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952414443 PECOS PAC ID: 0042203499 Enrollment ID: I20040403000148 |
| 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 | Jan E Peterson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033165931 PECOS PAC ID: 9133147978 Enrollment ID: I20051109001133 |
| Provider Name | Kevin D Neese |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699710319 PECOS PAC ID: 6800867383 Enrollment ID: I20071016000210 |
| Provider Name | Charles Janssens |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740448489 PECOS PAC ID: 0244386613 Enrollment ID: I20090928000065 |
| 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 | Anand Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346361904 PECOS PAC ID: 7113116112 Enrollment ID: I20110810000406 |
| Provider Name | Andrew P Roberts |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740508845 PECOS PAC ID: 1254573397 Enrollment ID: I20140905000788 |
| Provider Name | Cortney L Hendress |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679964407 PECOS PAC ID: 3870813256 Enrollment ID: I20150527000583 |
| Provider Name | Thomas E Puckett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346626876 PECOS PAC ID: 0143535252 Enrollment ID: I20150819007161 |
| Provider Name | Abigail M Hendrickson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518342757 PECOS PAC ID: 8325356520 Enrollment ID: I20151008001316 |
| Provider Name | Ricky Bhimani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760822365 PECOS PAC ID: 9335448646 Enrollment ID: I20160506001957 |
| Provider Name | Mallory C Larsen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255780656 PECOS PAC ID: 1759675259 Enrollment ID: I20160805001357 |
| 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 | 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 |
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