Cityblock Medical Practice, P.a. - Medicare Primary Care in Indianapolis, IN

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Cityblock Medical Practice, P.a. is a medicare enrolled primary clinic (Internal Medicine) in Indianapolis, Indiana. The current practice location for Cityblock Medical Practice, P.a. is 2620 Kessler Boulevard East Dr Ste 110, Indianapolis, Indiana. For appointments, you can reach them via phone at (800) 336-1100. The mailing address for Cityblock Medical Practice, P.a. is 55 Water St # 4c, Brooklyn, New York and phone number is (347) 401-1399.

Cityblock Medical Practice, P.a. is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1588296784. 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 (800) 336-1100.

Contact Information

Cityblock Medical Practice, P.a.
2620 Kessler Boulevard East Dr Ste 110
Indianapolis
IN 46220-2889
(800) 336-1100
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameCityblock Medical Practice, P.a.
SpecialityInternal Medicine
Location2620 Kessler Boulevard East Dr Ste 110, Indianapolis, Indiana
Authorized Official Name and PositionOluwatoyin Ajayi (PRESIDENT)
Authorized Official Contact3474011399
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Cityblock Medical Practice, P.a.
55 Water St # 4c
Brooklyn
NY 11201-1052

Ph: (347) 401-1399		Cityblock Medical Practice, P.a.
2620 Kessler Boulevard East Dr Ste 110
Indianapolis
IN 46220-2889

Ph: (800) 336-1100

NPI Details:

NPI Number1588296784
Provider Enumeration Date02/06/2020
Last Update Date12/08/2023

Medicare PECOS Information:

Medicare PECOS PAC ID0840670592
Medicare Enrollment IDO20220712001279

Medical Identifiers

Medical identifiers for Cityblock Medical Practice, P.a. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588296784NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
207R00000XInternal Medicine (* (Not Available))Primary
2084P0800XPsychiatry & Neurology - Psychiatry (* (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. Cityblock Medical Practice, P.a. acts as a billing entity for following providers:
Provider NameSteven Schneider
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1871559385
PECOS PAC ID: 0446225635
Enrollment ID: I20041110000789
Provider NameAmy L Mayernik
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255770749
PECOS PAC ID: 1456595032
Enrollment ID: I20130920000695
Provider NameAlexa Chapman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629472840
PECOS PAC ID: 9931426186
Enrollment ID: I20150326001888
Provider NameJaime Bristow
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598250797
PECOS PAC ID: 5698029726
Enrollment ID: I20181108001437
Provider NameJuliana Watts
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225418825
PECOS PAC ID: 1355659376
Enrollment ID: I20201015002042
Provider NameMaureen R Reel
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1811596596
PECOS PAC ID: 0749690949
Enrollment ID: I20201029000166
Provider NameOluwatoyin Ajayi
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1790912426
PECOS PAC ID: 7517115298
Enrollment ID: I20220712001146
Provider NameBritt-marie Cables
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164791851
PECOS PAC ID: 0941465934
Enrollment ID: I20231213000227
Provider NameStephen Kelly
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1558504258
PECOS PAC ID: 7113185117
Enrollment ID: I20231213003878
Provider NameAndrew Keyser
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1225442023
PECOS PAC ID: 8921375130
Enrollment ID: I20231214000411
Provider NameDavid Gurley
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1457577751
PECOS PAC ID: 1355433780
Enrollment ID: I20231214000872
Provider NameSophia Hammonds
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1417330085
PECOS PAC ID: 3678874724
Enrollment ID: I20231214002992
Provider NameWilliam Jackson
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1316068497
PECOS PAC ID: 3274600580
Enrollment ID: I20231215002078
Provider NameDavid Dayan-rosenman
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1992083885
PECOS PAC ID: 4385940113
Enrollment ID: I20231215002878
Provider NameMariama Hubbard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518946763
PECOS PAC ID: 8628033156
Enrollment ID: I20231216000353
Provider NameStephanie Lennon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487713947
PECOS PAC ID: 9133120207
Enrollment ID: I20231218000334
Provider NameAmir Darvish
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1386717783
PECOS PAC ID: 2567557952
Enrollment ID: I20231218001503
Provider NameKameron Matthews
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1902028822
PECOS PAC ID: 0749461317
Enrollment ID: I20231218001630
Provider NameDhruva Kothari
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1063771574
PECOS PAC ID: 6305149154
Enrollment ID: I20231218002323
Provider NameRuby Mehta
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1063813897
PECOS PAC ID: 0547652554
Enrollment ID: I20231218002477
Provider NameSvetlana Borochin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609128149
PECOS PAC ID: 8628217312
Enrollment ID: I20231218002609
Provider NamePooja Mehta
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1083841316
PECOS PAC ID: 4880837848
Enrollment ID: I20231218003148
Provider NameHolly Oh
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1063497311
PECOS PAC ID: 4284765744
Enrollment ID: I20231219001204
Provider NameRebecca Simons
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1285767459
PECOS PAC ID: 3476539271
Enrollment ID: I20231219001288
Provider NameJessica Ramos
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043704851
PECOS PAC ID: 9133462922
Enrollment ID: I20231219001514
Provider NameSamamtha Taylor
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033340377
PECOS PAC ID: 9436297645
Enrollment ID: I20231219002557
Provider NameCharlene Scotton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164934394
PECOS PAC ID: 6709147473
Enrollment ID: I20231219003399
Provider NameAlice Robertson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669854287
PECOS PAC ID: 4284060864
Enrollment ID: I20231220001616
Provider NameMichael Tang
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1598932097
PECOS PAC ID: 8729259197
Enrollment ID: I20231226001076
Provider NameSnehal Patel
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1528306586
PECOS PAC ID: 9436469657
Enrollment ID: I20240102003983
Provider NameShatonia Brown
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1336581776
PECOS PAC ID: 8224489869
Enrollment ID: I20240109001064
Provider NameBianca Osakwe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649638388
PECOS PAC ID: 0749570299
Enrollment ID: I20240112000903
Provider NameSteven Spencer
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1023057007
PECOS PAC ID: 8325051253
Enrollment ID: I20240116001782
Provider NameBennie Taylor
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1154777019
PECOS PAC ID: 4486941101
Enrollment ID: I20240116001881
Provider NameClaritza Rios
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1841354164
PECOS PAC ID: 8123109592
Enrollment ID: I20240117000464
Provider NameCourtney Rae Mathews
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1407465933
PECOS PAC ID: 8820440514
Enrollment ID: I20240118001051
Provider NameSarah Updegraff
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730671462
PECOS PAC ID: 6103171293
Enrollment ID: I20240119000668
Provider NameEmily Hurwitz
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1710324397
PECOS PAC ID: 3678860483
Enrollment ID: I20240308000359
Provider NameCorey Scott Yilmaz
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1972703569
PECOS PAC ID: 8628161049
Enrollment ID: I20240314001186

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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.