SOUTHERN INDIANA ENT, LLC
NPI 1013030618
Otolaryngology in Columbus, IN

Active since April 09, 2007CLIA 15D2172504 · Waiver
1655 N GLADSTONE AVE, SUITE E, COLUMBUS, IN 47201(812) 376-3071(812) 378-5721 Get Directions Write a Review

NPPES record last updated: February 3, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Southern Indiana Ent, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHERN INDIANA ENT, LLC (NPI 1013030618) is a healthcare organization registered as an otolaryngology in Columbus, Indiana and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through September 23, 2027 and lists Anthony D Sanders, Co-owner-partner, as its authorized official.

NPPES Registry Identity

NPI1013030618
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameSOUTHERN INDIANA ENT, LLC
Location Address1655 N GLADSTONE AVE, SUITE EColumbus, IN 47201-5392
Mailing Address1655 N Gladstone Ave, Suite EColumbus, IN 47201-5392 · (812) 376-3071 · Fax (812) 378-5721
Fax(812) 378-5721
Organization SubpartNo
Authorized OfficialAnthony D SandersCo-owner-partner · (812) 376-3071
Enumeration DateApril 9, 2007
Last NPPES UpdateFebruary 3, 2014
✔ NPI 1013030618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
1655 N GLADSTONE AVE, Columbus, IN 47201

Other Identifiers 2

Medicaid200337430IN
Medicare PIN182440IN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southern Indiana Ent, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

18

Medicare enrollment records show 18 clinicians reassign Medicare billing to Southern Indiana Ent, LLC, which bills Medicare for the services they deliver. Of these, 9 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 5

Nurse Practitioner7
Otolaryngology7
Qualified Audiologist2
Certified Registered Nurse Anesthetist (CRNA)1
Emergency Medicine1

Clinicians, nearest first (18)

Qualified Audiologist
NPI 1639374903
2326 18TH ST SUITE 230
Columbus, IN 47201
(812) 375-3930
✔ Accepts Medicare0.3 mi
Nurse Practitioner
NPI 1699253583
806 JACKSON ST
Columbus, IN 47201
(812) 748-3412
✔ PECOS1.7 mi
Nurse Practitioner
NPI 1265906291
1655 N GLADSTONE AVE STE E
Columbus, IN 47201
(812) 376-3071
✔ PECOS2.4 mi
Nurse Practitioner
NPI 1881364552
1655 N GLADSTONE AVE STE E
Columbus, IN 47201
(812) 669-3687
✔ PECOS✔ Accepts Medicare2.4 mi
Otolaryngology
NPI 1891792149
1655 N GLADSTONE AVE
Columbus, IN 47201
(812) 376-3071
✔ PECOS✔ Accepts Medicare2.4 mi
Otolaryngology
NPI 1841653581
1655 N GLADSTONE AVE STE E
Columbus, IN 47201
(812) 657-8080
✔ PECOS✔ Accepts Medicare2.4 mi
Otolaryngology
NPI 1689671885
1655 N GLADSTONE AVE STE E
Columbus, IN 47201
(812) 376-3071
✔ PECOS2.4 mi
Nurse Practitioner
NPI 1912364878
1655 N GLADSTONE AVE STE E
Columbus, IN 47201
(812) 376-3071
✔ PECOS✔ Accepts Medicare2.4 mi
Nurse Practitioner
NPI 1548804552
3060 NATIONAL ROAD
Columbus, IN 47201
(812) 314-7955
✔ PECOS4.2 mi
Nurse Practitioner
NPI 1851356430
225 S PINE ST STE 300
Seymour, IN 47274
(812) 523-7893
✔ PECOS✔ Accepts Medicare18 mi
Nurse Practitioner
NPI 1477556108
1800 COMMERCIAL DR
North Vernon, IN 47265
(812) 953-1348
✔ PECOS✔ Accepts Medicare19 mi
Qualified Audiologist
NPI 1518771468
1159 W JEFFERSON ST STE 202
Franklin, IN 46131
(812) 287-6157
✔ Accepts Medicare21 mi
Emergency Medicine
NPI 1407885221
8244 E US HIGHWAY 36 STE 1100
Avon, IN 46123
(317) 272-7500
✔ PECOS46 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1811971690
7150 CLEARVISTA DR
Indianapolis, IN 46256
(317) 621-5890
✔ Accepts Medicare48 mi
Otolaryngology
NPI 1043712359
4881 SUGAR MAPLE DR
Dayton, OH 45433
(937) 522-2778
✔ PECOS✔ Accepts Medicare107 mi
Otolaryngology
NPI 1659784759
9300 DEWITT LOOP
Fort Belvoir, VA 22060
(712) 312-5445
✔ PECOS✔ Accepts Medicare471 mi
Otolaryngology
NPI 1205249489
36065 SANTA FE AVE
Fort Hood, TX 76544
(317) 775-8682
✔ PECOS✔ Accepts Medicare872 mi
Otolaryngology
NPI 1720086366
1801 W SAMPLE RD STE 101
Deerfield Beach, FL 33064
(954) 888-3800
✔ PECOS✔ Accepts Medicare953 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D2172504

Southern Indiana Ent · Columbus, IN
Active · expires Sep 23, 2027
CLIA Number15D2172504
Laboratory TypePhysician Office
Certificate Effective DateSeptember 24, 2025
Certificate Expiration DateSeptember 23, 2027
Laboratory DirectorAnthony D. Sanders
Laboratory Phone(812) 669-3705
Laboratory LocationSouthern Indiana Ent1655 N Gladstone Avenue, Columbus, IN 47201
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southern Indiana Ent, LLC's NPI number?

The NPI number for Southern Indiana Ent, LLC is 1013030618. It was assigned to this organization in the NPPES registry on April 9, 2007.

Where is Southern Indiana Ent, LLC located?

Southern Indiana Ent, LLC is located at 1655 N Gladstone Ave Suite E, Columbus, IN 47201. The listed phone number is (812) 376-3071.

What is Southern Indiana Ent, LLC's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Southern Indiana Ent, LLC enrolled in Medicare?

Yes. Southern Indiana Ent, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southern Indiana Ent, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 18 clinicians in 5 Medicare specialties reassign their Medicare billing to Southern Indiana Ent, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (7), Otolaryngology (7) and Qualified Audiologist (2). Of these, 9 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Southern Indiana Ent, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2172504) is associated with this NPI, valid through September 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Southern Indiana Ent, LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Southern Indiana Ent, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Southern Indiana Ent, LLC was last updated on February 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.