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VINCENT M BOURNIQUE MD
NPI 1144287681
Internal Medicine - Cardiovascular Disease in Indianapolis, IN

Active since April 27, 2006PECOS Enrolled
8075 N SHADELAND AVE, #350, INDIANAPOLIS, IN 46250(317) 678-3900(317) 841-0395 Get Directions Write a Review

NPPES record last updated: January 18, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vincent M Bournique Md NPPES

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

VINCENT M BOURNIQUE MD (NPI 1144287681) is an individual cardiovascular disease provider in Indianapolis, Indiana, licensed in Indiana (01029804A) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144287681
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameVINCENT M BOURNIQUECredential: MD
Location Address8075 N SHADELAND AVE, #350Indianapolis, IN 46250-2693
Mailing Address1600 S 20th Ave, #350Safford, AZ 85546-4011 · (928) 348-4037 · Fax (855) 876-8606
Phone(317) 678-3900
Fax(317) 841-0395
Sole ProprietorNo
Enumeration DateApril 27, 2006
Last NPPES UpdateJanuary 18, 2017
✔ NPI 1144287681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in IN · 01029804A
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
8075 N SHADELAND AVE, Indianapolis, IN 46250
Open in Google Maps ↗

Other Identifiers 4

Medicare UPINC78698
Medicare PIN218650GIN
Medicare PINM400061626IN
Medicaid10385690IN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vincent M Bournique Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46250 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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
INDIANA HEART HOSPITAL LLC
Internal Medicine
8075 N SHADELAND AVE, SUITE 200
INDIANAPOLIS, IN 46250
Marion County (317) 621-9312
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

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 Vincent Bournique's NPI number?

The NPI number for Vincent Bournique is 1144287681. It was assigned to this individual provider in the NPPES registry on April 27, 2006.

Where is Vincent Bournique located?

Vincent Bournique practices at 8075 N Shadeland Ave #350, Indianapolis, IN 46250. The listed phone number is (317) 678-3900.

What is Vincent Bournique's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Vincent Bournique enrolled in Medicare?

Yes. Vincent Bournique is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Vincent Bournique was last updated on January 18, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.