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CITYBLOCK MEDICAL PRACTICE, P.A.
NPI 1255108353
Internal Medicine in Indianapolis, IN

Active since December 08, 2023CLIA Certified · 6 labs
2301 N MERIDIAN ST, INDIANAPOLIS, IN 46208(800) 336-1100 Get Directions Write a Review

NPPES record last updated: February 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cityblock Medical Practice, P.a. NPPES

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

CITYBLOCK MEDICAL PRACTICE, P.A. (NPI 1255108353) is a healthcare organization registered as an internal medicine in Indianapolis, Indiana and active in the NPI registry since December 2023. The organization holds 6 active CLIA laboratory certificates, maintains a secondary practice location in Fort Wayne, and lists Oluwatoyin T Ajayi, President And Sole Shareholder, as its authorized official.

NPPES Registry Identity

NPI1255108353
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCITYBLOCK MEDICAL PRACTICE, P.A.
Location Address2301 N MERIDIAN STIndianapolis, IN 46208-5729
Mailing Address495 Flatbush Ave Ste C5Brooklyn, NY 11225-3706 · (833) 904-0620
Phone(800) 336-1100
Organization SubpartNo
Authorized OfficialOluwatoyin T AjayiPresident And Sole Shareholder · (833) 904-2273
Enumeration DateDecember 8, 2023
Last NPPES UpdateFebruary 28, 2024
NPPES CertifiedFebruary 28, 2024
✔ NPI 1255108353 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.
2301 N MERIDIAN ST, Indianapolis, IN 46208
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Secondary Practice Location 1

Location 13030 Lake Ave Ste 21Fort Wayne, IN 46805-5428 · Phone (800) 336-1100

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 6

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 15D2272543

Cityblock Medical Practice, PA · Indianapolis, IN
Active · expires Jan 18, 2028
CLIA Number15D2272543
Laboratory TypePhysician Office
Certificate Effective DateJanuary 19, 2026
Certificate Expiration DateJanuary 18, 2028
Laboratory DirectorMichael Person
Laboratory Phone(800) 336-1100
Laboratory LocationCityblock Medical Practice, PA2301 N Meridian Street, Indianapolis, IN 46208
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2302396

Cityblock Medical Practice PA · Tampa, FL
Active · expires Apr 9, 2028
CLIA Number10D2302396
Laboratory TypePhysician Office
Certificate Effective DateApril 10, 2026
Certificate Expiration DateApril 9, 2028
Laboratory DirectorFaisel Syed
Laboratory Phone(833) 904-2273
Laboratory LocationCityblock Medical Practice PA15416 N Florida Ave - Ste 203, Tampa, FL 33613
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 14D2302393

Cityblock Medical Practice, P A · South Holland, IL
Active · expires Apr 9, 2028
CLIA Number14D2302393
Laboratory TypePhysician Office
Certificate Effective DateApril 10, 2026
Certificate Expiration DateApril 9, 2028
Laboratory DirectorAlexa Chapman
Laboratory Phone(833) 904-2273
Laboratory LocationCityblock Medical Practice, P A16115 South Lasalle St, South Holland, IL 60473
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 23D2339046

Cityblock Medical Practice, P A · Southfield, MI
Active · expires Feb 22, 2028
CLIA Number23D2339046
Laboratory TypePhysician Office
Certificate Effective DateFebruary 23, 2026
Certificate Expiration DateFebruary 22, 2028
Laboratory DirectorRina Reyes Garcia
Laboratory Phone(833) 904-2273
Laboratory LocationCityblock Medical Practice, P A26206 W 12 Mile Road Suite 202, Southfield, MI 48034
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 23D2333265

Cityblock Medical Practice, P A · Dearborn, MI
Active · expires Nov 2, 2027
CLIA Number23D2333265
Laboratory TypePcp Group
Certificate Effective DateNovember 3, 2025
Certificate Expiration DateNovember 2, 2027
Laboratory DirectorMichael Person
Laboratory Phone(833) 904-2273
Laboratory LocationCityblock Medical Practice, P A3200 Greenfield Road Suite 300, Dearborn, MI 48120
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 22D2180932

Cityblock Medical Practices Ma PC · Worcester, MA
Active · expires Mar 23, 2028
CLIA Number22D2180932
Laboratory TypePcp Grp Doing Home Visits
Certificate Effective DateMarch 24, 2026
Certificate Expiration DateMarch 23, 2028
Laboratory DirectorMr. James Taylor
Laboratory Phone(833) 904-2273
Laboratory LocationCityblock Medical Practices Ma PC100 Grove St, Unit 115, Worcester, MA 01605
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

TRACEY W ALPHIN PA
Physician Assistant
2301 N MERIDIAN ST
INDIANAPOLIS, IN 46208
Marion County (317) 847-4366
MEDICAL SPECIALTY LLC
Clinic/Center (Urgent Care)
2301 N MERIDIAN ST
INDIANAPOLIS, IN 46208
Marion County (317) 602-5610
ELIZABETH ANNA MARGARET O'BRIEN BSN
Case Manager/Care Coordinator
2301 N MERIDIAN ST
INDIANAPOLIS, IN 46208
Marion County (833) 904-2273

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 Cityblock Medical Practice, P.A.'s NPI number?

The NPI number for Cityblock Medical Practice, P.A. is 1255108353. It was assigned to this organization in the NPPES registry on December 8, 2023.

Where is Cityblock Medical Practice, P.A. located?

Cityblock Medical Practice, P.A. is located at 2301 N Meridian St, Indianapolis, IN 46208. The listed phone number is (800) 336-1100.

What is Cityblock Medical Practice, P.A.'s specialty?

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

Does Cityblock Medical Practice, P.A. hold CLIA laboratory certificates?

Yes. 6 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Cityblock Medical Practice, P.A. was last updated on February 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.