NORTHEAST FAMILY PHYSICIANS INC
NPI 1235185893
Family Medicine in Indianapolis, IN

NPI Status: Active since May 25, 2006

Contact Information

6910 HILLSDALE CT
INDIANAPOLIS, IN
ZIP 46250
Phone: (317) 841-6547
Fax: (317) 841-6460

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  • Organization
  • Family Medicine
  • CLIA Number: 15D2257849
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 04-11-2026

About NORTHEAST FAMILY PHYSICIANS INC

This page provides the complete NPI Profile along with additional information for Northeast Family Physicians Inc, a primary care provider established in Indianapolis, Indiana operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1235185893 assigned on May 2006. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 16 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Northeast Family Physicians Inc. The authorized official of this NPI record is Jeffery Kirkham (Cfo)

NPI
1235185893
Provider Legal Name
COMMUNITY HOSPITALS OF INDIANA INC
Other Organization Name
NORTHEAST FAMILY PHYSICIANS INC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
6910 HILLSDALE CT INDIANAPOLIS, IN 46250
Location Phone
(317) 841-6547
Location Fax
(317) 841-6460
Mailing Address
6910 HILLSDALE CT INDIANAPOLIS, IN 46250
Mailing Phone
(317) 841-6547
Mailing Fax
(317) 841-6460
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-25-2006
Last Update Date
12-28-2009
Code Navigator

A primary care provider (PCP) like Northeast Family Physicians Inc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JEFFERY KIRKHAM

Authorized Official Title
CFO
Authorized Official Phone
(317) 355-5822

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
DA8188MEDICARE PIN (08)IN 
200406960BMEDICAID (05)IN 
214180MEDICARE PIN (08)IN 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
15D2257849
Facility Type
Physician Office
Certificate Effective Date
April 12, 2024
Certificate Expiration Date
April 11, 2026
Laboratory Director
MICHAEL LARGE
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Northeast Family Physicians Inc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1235185893
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22652810818
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 6 + 5 + 2 + 8 + 1 + 0 + 8 + 1 + 8 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1235185893 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 13 providers are registered at the same or nearby location.

TAMMY L POLIT DO

Family Medicine

6910 HILLSDALE CT
INDIANAPOLIS, IN
ZIP 46250

(317) 621-6337

BETTY J WAGNER NP

Nurse Practitioner

6910 HILLSDALE CT
INDIANAPOLIS, IN
ZIP 46250

(317) 841-6552

MARSHA M KING-FAWCETT LCSW

Social Worker

(Clinical)

6910 HILLSDALE CT
INDIANAPOLIS, IN
ZIP 46250

(317) 621-7740

DR. SAIMA BUTT M.D.

Family Medicine

6910 HILLSDALE CT
INDIANAPOLIS, IN
ZIP 46250

(317) 621-6337

LINDSEY ELIZABETH EDWARDS

Nurse Practitioner

(Family)

6910 HILLSDALE CT
INDIANAPOLIS, IN
ZIP 46250

(317) 621-6337

KELSEY NICOLE KENNEDY DO

Family Medicine

6910 HILLSDALE CT
INDIANAPOLIS, IN
ZIP 46250

(317) 621-6337

NORMAN FOGLE MD

Family Medicine

6910 HILLSDALE CT
INDIANAPOLIS, IN
ZIP 46250

(317) 621-6337

JAMES KLUZINSKI MD

Family Medicine

6910 HILLSDALE CT
INDIANAPOLIS, IN
ZIP 46250

(317) 621-6337

JOHN TZUCKER MD

Family Medicine

6910 HILLSDALE CT
INDIANAPOLIS, IN
ZIP 46250

(317) 621-6337

LATONYA L SULTZER

Nurse Practitioner

(Family)

6910 HILLSDALE CT
INDIANAPOLIS, IN
ZIP 46250

(317) 621-6337

RASHMIN ADESARA MD

Family Medicine

6910 HILLSDALE CT
INDIANAPOLIS, IN
ZIP 46250

(317) 621-6337

ASOKA S RATNAYAKE MD

Family Medicine

6910 HILLSDALE CT
INDIANAPOLIS, IN
ZIP 46250

(317) 621-6337

ANA HERNANDEZ CALDERON PHARMD

Pharmacist

(Ambulatory Care)

6910 HILLSDALE CT
INDIANAPOLIS, IN
ZIP 46250

(317) 621-3445

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235185893, enumerated as an "organization" on May 25, 2006.

The provider is located at 6910 HILLSDALE CT INDIANAPOLIS, IN 46250 and the phone number is (317) 841-6547.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.