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COMMUNITY PHYSICIANS
NPI 1104032671
Internal Medicine in Indianapolis, IN

Active since May 14, 2007CLIA 15D0354676 · Waiver
8075 N SHADELAND AVE, SUITE 200, INDIANAPOLIS, IN 46250(317) 621-9312 Get Directions Write a Review

NPPES record last updated: July 10, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Community Physicians NPPES

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

COMMUNITY PHYSICIANS (NPI 1104032671) is a healthcare organization registered as an internal medicine in Indianapolis, Indiana and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through October 4, 2027 and lists Holly Millard, Cfo, as its authorized official.

NPPES Registry Identity

NPI1104032671
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameINDIANA HEART HOSPITAL LLC
Location Address8075 N SHADELAND AVE, SUITE 200Indianapolis, IN 46250-2693
Mailing Address6626 E. 75th Street, Suite 500Indianapolis, IN 46250-2894
Phone(317) 621-9312
Organization SubpartNo
Authorized OfficialHolly MillardCfo · (317) 621-9312
Enumeration DateMay 14, 2007
Last NPPES UpdateJuly 10, 2014
✔ NPI 1104032671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X
Also ListedOrthopaedic Surgery · Pediatric Orthopaedic SurgeryTaxonomy 207XP3100X
Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X
Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X
Also ListedThoracic Surgery (Cardiothoracic Vascular Surgery)Taxonomy 208G00000X
8075 N SHADELAND AVE, Indianapolis, IN 46250
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Other Names 1

Doing Business AsCommunity Physicians

Other Identifiers 4

Other000000525347IN · Anthem
Medicare PIN251320IN
Medicaid200861380IN
Medicaid201033120IN

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 15D0354676

Community Physicians Of In Inc - Family Medicine Care Hillsdale · Indianapolis, IN
Active · expires Oct 4, 2027
CLIA Number15D0354676
Laboratory TypePhysician Office
Certificate Effective DateOctober 5, 2025
Certificate Expiration DateOctober 4, 2027
Laboratory DirectorRashmin Adesara
Laboratory Phone(317) 621-6337
Laboratory LocationCommunity Physicians Of In Inc - Family Medicine Care Hillsdale6910 Hillsdale Court, Indianapolis, IN 46250
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NADINE C HENNING NP
Nurse Practitioner
8075 N SHADELAND AVE, SUITE 200
INDIANAPOLIS, IN 46250
Marion County (317) 621-8500
GRAYDON TAYLOR DO
Anesthesiology
8075 N SHADELAND AVE
INDIANAPOLIS, IN 46250
Marion County (317) 621-8000
JOTHIHARAN MAHENTHIRAN M.D.
Internal Medicine (Cardiovascular Disease)
8075 N SHADELAND AVE, SUITE 200
INDIANAPOLIS, IN 46250
Marion County (317) 621-8500
JESSICA A HAISLEY PA
Physician Assistant
8075 N SHADELAND AVE, STE 200
INDIANAPOLIS, IN 46250
Marion County (317) 621-8500
JOHN H STOREY MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
8075 N SHADELAND AVE, SUITE 200
INDIANAPOLIS, IN 46250
Marion County (317) 621-8500
MRS. JENNIFER ELAINE RADABAUGH N.P.
Nurse Practitioner
8075 N SHADELAND AVE, SUITE 200
INDIANAPOLIS, IN 46250
Marion County (317) 621-8500
THE INDIANA HEART HOSPITAL
Chronic Disease Hospital
8075 N SHADELAND AVE
INDIANAPOLIS, IN 46250
Marion County (317) 621-8569
DR. MARCUS ADAM TIELKER M.D.
Internal Medicine (Pulmonary Disease)
8075 N SHADELAND AVE, SUITE 200
INDIANAPOLIS, IN 46250
Marion County (317) 887-7880

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 Indiana Heart Hospital LLC's NPI number?

The NPI number for Indiana Heart Hospital LLC is 1104032671. It was assigned to this organization in the NPPES registry on May 14, 2007. The provider is doing business as Community Physicians.

Where is Indiana Heart Hospital LLC located?

Indiana Heart Hospital LLC is located at 8075 N Shadeland Ave Suite 200, Indianapolis, IN 46250. The listed phone number is (317) 621-9312.

What is Indiana Heart Hospital LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Indiana Heart Hospital LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D0354676) is associated with this NPI, valid through October 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Indiana Heart Hospital LLC was last updated on July 10, 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.