<unavail> in Indianapolis, IN - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Indianapolis, Indiana. The current practice location for is 5750 W 56th St, Indianapolis, Indiana. For appointments, you can reach them via phone at (317) 291-7422. The mailing address for is 3400 Lafayette Rd Ste 200, Indianapolis, Indiana and phone number is (317) 291-7422.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1003275512. 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 (317) 291-7422.

Contact Information


	5750 W 56th St Indianapolis IN 46254-1695
	(317) 291-7422
	(317) 291-4912

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	5750 W 56th St, Indianapolis, Indiana
Authorized Official Name and Position	Leonardo R Ortega (CEO/EXECUTIVE DIRECTOR)
Authorized Official Contact	3172917422
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
3400 Lafayette Rd Ste 200 Indianapolis IN 46222-1147 Ph: (317) 291-7422	5750 W 56th St Indianapolis IN 46254-1695 Ph: (317) 291-7422

NPI Details:

NPI Number	1003275512
Provider Enumeration Date	02/12/2016
Last Update Date	01/22/2021

Medicare PECOS Information:

Medicare PECOS PAC ID	3779471750
Medicare Enrollment ID	O20160215000849

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003275512	NPI	-	NPPES
200392480J	Medicaid	IN
200392480	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	(* (Not Available))	Secondary
207R00000X	Internal Medicine	(* (Not Available))	Secondary
208000000X	Pediatrics	(* (Not Available))	Secondary
2084P0800X	Psychiatry & Neurology - Psychiatry	(* (Not Available))	Secondary
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	(* (Not Available))	Primary
363LF0000X	Nurse Practitioner - Family	(* (Not Available))	Secondary
363LP0200X	Nurse Practitioner - Pediatrics	(* (Not Available))	Secondary

Reviews and Comments

Clinic/Center in Indianapolis, IN

Moazzam Habib Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9240 N Meridian St, Suite 240, Indianapolis, IN 46260 Phone: 317-571-0030 Fax: 317-571-0031
Franciscan Health Indianapolis & Mooresville Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5230a East Stop 11 Road, Suite 250, Indianapolis, IN 46237 Phone: 317-528-8921 Fax: 317-528-6916
Evernorth Care Providers - Delaware Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8888 Keystone Xing Ste 1300, Indianapolis, IN 46240 Phone: 773-292-4800 Fax: 312-564-4059
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1434 Shelby St, Indianapolis, IN 46203 Phone: 317-655-3200 Fax: 317-655-3210
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1040 E 86th St, Suite 48-a, Indianapolis, IN 46240 Phone: 317-569-1800
Cadience Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5602 Caito Dr, Indianapolis, IN 46226 Phone: 901-235-2065

- Medicare Primary Care in Indianapolis, IN