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INTERNAL MEDICINE OF HENDRICKS COUNTY
NPI 1174620488
Internal Medicine in Danville, IN

Active since September 20, 2006CLIA 15D0956569 · Waiver
100 HOSPITAL LN, SUITE 115, DANVILLE, IN 46122(317) 718-4066(317) 718-4076 Get Directions Write a Review

NPPES record last updated: May 28, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Internal Medicine Of Hendricks County NPPES

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

INTERNAL MEDICINE OF HENDRICKS COUNTY (NPI 1174620488) is a healthcare organization registered as an internal medicine in Danville, Indiana and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through January 30, 2027 and lists Heather Rutherford, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1174620488
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameHENDRICKS COUNTY HOSPITAL
Location Address100 HOSPITAL LN, SUITE 115Danville, IN 46122-1989
Mailing Address1100 Southfield Dr, Suite 1370Plainfield, IN 46168-4498 · (317) 837-5571 · Fax (317) 837-5580
Phone(317) 718-4066
Fax(317) 718-4076
Organization SubpartNo
Authorized OfficialHeather RutherfordCredentialing Coordinator · (317) 837-5566
Enumeration DateSeptember 20, 2006
Last NPPES UpdateMay 28, 2024
NPPES CertifiedMay 28, 2024
✔ NPI 1174620488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
100 HOSPITAL LN, Danville, IN 46122
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Other Names 1

Doing Business AsInternal Medicine Of Hendricks County

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Internal Medicine Of Hendricks County is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateIndianaEnrollment IDO20040811000309Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

400

Medicare enrollment records show 400 clinicians reassign Medicare billing to Internal Medicine Of Hendricks County, which bills Medicare for the services they deliver. Of these, 49 practice at this address and 256 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 36

Nurse Practitioner95
Family Practice39
Certified Registered Nurse Anesthetist (CRNA)37
Neurology35
Internal Medicine34
Emergency Medicine27
Pediatric Medicine19
Obstetrics/Gynecology18
28 other specialties96

Nearest to this location (20)

See all 400
Priya Abhyankar
Internal Medicine
NPI 1457988867
100 HOSPITAL LN STE 120
Danville, IN 46122
(317) 745-7310
✔ PECOS✔ Accepts MedicareSame address
Kristi Brown, NP
Nurse Practitioner
NPI 1053662569
100 HOSPITAL LN STE 205
Danville, IN 46122
(317) 745-7445
✔ PECOSSame address
Emily Current, DO
Pediatric Medicine
NPI 1407541972
100 HOSPITAL LN STE 200
Danville, IN 46122
(317) 745-7337
✔ PECOSSame address
Cameron Duffner, MD
Neurology
NPI 1548849573
100 HOSPITAL LN STE 225
Danville, IN 46122
(317) 718-4730
✔ PECOS✔ Accepts MedicareSame address
James Gross, MD
Urology
NPI 1952970303
100 HOSPITAL LN STE 145
Danville, IN 46122
(317) 799-0192
✔ PECOSSame address
Krystine Gulbrand, MD
Obstetrics/Gynecology
NPI 1346770229
100 HOSPITAL LN STE 145
Danville, IN 46122
(317) 386-5632
✔ PECOS✔ Accepts MedicareSame address
Zhaodong Li, MD
Gastroenterology
NPI 1043641475
100 HOSPITAL LN STE 120
Danville, IN 46122
(317) 745-7310
✔ PECOS✔ Accepts MedicareSame address
Anne Mattingly, M.D.
Surgical Oncology
NPI 1174842595
100 HOSPITAL LN STE 315
Danville, IN 46122
(317) 718-9000
✔ PECOS✔ Accepts MedicareSame address
Benjamin Monson, MD
Plastic and Reconstructive Surgery
NPI 1063588812
100 HOSPITAL LN STE 325
Danville, IN 46122
(317) 718-7980
✔ PECOS✔ Accepts MedicareSame address
Stephen Parsons, MD
Otolaryngology
NPI 1932146966
100 HOSPITAL LN STE 220
Danville, IN 46122
(317) 745-3758
✔ PECOS✔ Accepts MedicareSame address
Mateen Rahman, M.B.B.S.
Infectious Disease
NPI 1669621306
100 HOSPITAL LN STE 105
Danville, IN 46122
(317) 745-3333
✔ PECOS✔ Accepts MedicareSame address
Anuj Shukla
Family Practice
NPI 1669829826
100 HOSPITAL LN STE 100
Danville, IN 46122
(317) 718-4000
✔ PECOS✔ Accepts MedicareSame address
Sue Tobin, DO
Medical Oncology
NPI 1215034525
100 HOSPITAL LN STE 300
Danville, IN 46122
(317) 520-5510
✔ PECOS✔ Accepts MedicareSame address
Peter Umukoro, M.D.
Nephrology
NPI 1679924013
100 HOSPITAL LN STE 145
Danville, IN 46122
(317) 718-2460
✔ PECOS✔ Accepts MedicareSame address
Olivia Batten
Qualified Audiologist
NPI 1457832099
100 HOSPITAL LN STE 220
Danville, IN 46122
(317) 718-6236
✔ Accepts MedicareSame address
Tyler Beckley, D.O.
Orthopedic Surgery
NPI 1710008297
100 HOSPITAL LN STE 300
Danville, IN 46122
(317) 718-4676
✔ PECOS✔ Accepts MedicareSame address
Priya Menon, M.D.
Endocrinology
NPI 1255424594
100 HOSPITAL LN SUITE 205
Danville, IN 46122
(317) 745-7445
✔ PECOS✔ Accepts MedicareSame address
Dustin Andresen, M.D.
Hospitalist
NPI 1528356805
1000 E MAIN ST
Danville, IN 46122
(317) 718-4740
✔ PECOS✔ Accepts MedicareSame address
Kimberly Ashley, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1255560132
1000 E MAIN ST
Danville, IN 46122
(317) 567-2180
✔ Accepts MedicareSame address
Alex Kor, DPM
Podiatry
NPI 1922169374
1000 E MAIN ST
Danville, IN 46122
(317) 718-4676
✔ PECOS✔ Accepts MedicareSame address
See all 400 clinicians

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 15D0956569

Internal Medicine Of Hendricks County · Danville, IN
Active · expires Jan 30, 2027
CLIA Number15D0956569
Laboratory TypePhysician Office
Certificate Effective DateJanuary 31, 2025
Certificate Expiration DateJanuary 30, 2027
Laboratory DirectorBradley P. Hamrick
Laboratory Phone(317) 718-4066
Laboratory LocationInternal Medicine Of Hendricks County100 Hospital Lane, Ste 115, Danville, IN 46122
CLIA data matches this NPI record on: Address Name Phone
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 Hendricks County Hospital's NPI number?

The NPI number for Hendricks County Hospital is 1174620488. It was assigned to this organization in the NPPES registry on September 20, 2006. The provider is doing business as Internal Medicine Of Hendricks County.

Where is Hendricks County Hospital located?

Hendricks County Hospital is located at 100 Hospital Ln Suite 115, Danville, IN 46122. The listed phone number is (317) 718-4066.

What is Hendricks County Hospital's specialty?

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

Is Hendricks County Hospital enrolled in Medicare?

Yes. Hendricks County Hospital is registered in the Medicare PECOS enrollment system.

When is Hendricks County Hospital's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Indiana, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Hendricks County Hospital?

According to the CMS Revalidation Reassignment List (October 2026 release), 400 clinicians in 36 Medicare specialties reassign their Medicare billing to Hendricks County Hospital. 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 (95), Family Practice (39) and Certified Registered Nurse Anesthetist (CRNA) (37). Of these, 49 practice at this address and 256 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Hendricks County Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D0956569) is associated with this NPI, valid through January 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Hendricks County Hospital accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield list Hendricks County Hospital 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 Hendricks County Hospital was last updated on May 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.