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PASSPORT HEALTH INDIANA
NPI 1154541795
Specialist in Indianapolis, IN

Active since April 26, 2007
1030 E 86TH ST, SUITE E, INDIANAPOLIS, IN 46240(317) 844-2990(317) 844-1706 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Passport Health Indiana NPPES

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

PASSPORT HEALTH INDIANA (NPI 1154541795) is a healthcare organization registered as a specialist in Indianapolis, Indiana and active in the NPI registry since April 2007. The organization lists Michael Durs, President, as its authorized official.

NPPES Registry Identity

NPI1154541795
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameINDIANAPOLIS IMMUNIZATION GROUP
Location Address1030 E 86TH ST, SUITE EIndianapolis, IN 46240-1866
Mailing Address1030 E 86th St, Suite EIndianapolis, IN 46240-1866 · (317) 844-2990 · Fax (317) 844-1706
Phone(317) 844-2990
Fax(317) 844-1706
Organization SubpartNo
Authorized OfficialMichael DursPresident · (317) 844-2990
Enumeration DateApril 26, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1154541795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1030 E 86TH ST, Indianapolis, IN 46240
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Other Names 1

Doing Business AsPassport Health Indiana

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

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 Indianapolis Immunization Group's NPI number?

The NPI number for Indianapolis Immunization Group is 1154541795. It was assigned to this organization in the NPPES registry on April 26, 2007. The provider is doing business as Passport Health Indiana.

Where is Indianapolis Immunization Group located?

Indianapolis Immunization Group is located at 1030 E 86th St Suite E, Indianapolis, IN 46240. The listed phone number is (317) 844-2990.

What is Indianapolis Immunization Group's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Indianapolis Immunization Group was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.