1. Home
  2. Directory
  3. Indiana
  4. Polis
  5. General Practice
  6. NPI Profile

INDIANA
NPI 1285359752
General Practice in Indianapolis, IN

Active since October 07, 2022
10475 CROSSPOINT BLVD STE 250, INDIANAPOLIS, IN 46256(657) 400-5180 Get Directions Write a Review

NPPES record last updated: January 30, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Indiana NPPES

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

INDIANA (NPI 1285359752) is a healthcare organization registered as a general practice in Indianapolis, Indiana and active in the NPI registry since October 2022. The organization lists Christopher Dennis, Chief Medical Officer, as its authorized official.

NPPES Registry Identity

NPI1285359752
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameLANDMARK MEDICAL OF TENNESSEE PC
Location Address10475 CROSSPOINT BLVD STE 250Indianapolis, IN 46256-3387
Mailing Address7755 Center Ave Ste 630Huntington Beach, CA 92647-9152
Phone(657) 400-5180
Organization SubpartNo
Authorized OfficialChristopher DennisChief Medical Officer · (657) 237-2450
Enumeration DateOctober 7, 2022
Last NPPES UpdateJanuary 30, 2024
NPPES CertifiedJanuary 30, 2024
✔ NPI 1285359752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
10475 CROSSPOINT BLVD STE 250, Indianapolis, IN 46256
Open in Google Maps ↗

Other Names 1

Other NameIndiana

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Indiana is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Indiana, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Jacob Shopp, MD
Emergency Medicine
NPI 1033591086
10475 CROSSPOINT BLVD STE 250
Indianapolis, IN 46256
(657) 237-2450
✔ PECOS✔ Accepts MedicareSame address
Bridget Darr, MD
Family Practice
NPI 1568803518
276 MANCHESTER AVE
Wabash, IN 46992
(260) 563-2126
✔ PECOS61 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Landmark Medical Of Tennessee PC's NPI number?

The NPI number for Landmark Medical Of Tennessee PC is 1285359752. It was assigned to this organization in the NPPES registry on October 7, 2022. The provider is also known as Indiana.

Where is Landmark Medical Of Tennessee PC located?

Landmark Medical Of Tennessee PC is located at 10475 Crosspoint Blvd Ste 250, Indianapolis, IN 46256. The listed phone number is (657) 400-5180.

What is Landmark Medical Of Tennessee PC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Landmark Medical Of Tennessee PC enrolled in Medicare?

Yes. Landmark Medical Of Tennessee PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Landmark Medical Of Tennessee PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Landmark Medical Of Tennessee PC, in Emergency Medicine and Family Practice. 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Landmark Medical Of Tennessee PC was last updated on January 30, 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.