INDIANA REGIONAL MEDICAL CENTER
NPI 1366790750
Internal Medicine in Indiana, PA

Active since August 16, 2012
835 HOSPITAL RD, URGICARE AT IRMC, INDIANA, PA 15701(724) 357-7493(724) 357-6961 Get Directions Write a Review

NPPES record last updated: July 10, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 10, 2024, Nov 4, 2022 (2 updates tracked since 2022).

About Indiana Regional Medical Center NPPES

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

INDIANA REGIONAL MEDICAL CENTER (NPI 1366790750) is a healthcare organization registered as an internal medicine in Indiana, Pennsylvania and active in the NPI registry since August 2012. The organization lists Michael F Ickowski, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1366790750
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameINDIANA REGIONAL MEDICAL CENTER
Location Address835 HOSPITAL RD, URGICARE AT IRMCIndiana, PA 15701-3629
Mailing AddressPo Box 788, 835 Hospital RoadIndiana, PA 15701-0788 · (724) 357-7493 · Fax (724) 357-6961
Fax(724) 357-6961
Organization SubpartNo
Authorized OfficialMichael F IckowskiChief Financial Officer · (724) 357-7008
Enumeration DateAugust 16, 2012
Last NPPES UpdateJuly 10, 20242 updates tracked since enumeration
NPPES CertifiedJuly 10, 2024
✔ NPI 1366790750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · 090701
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.
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X · License 090701 (PA)
835 HOSPITAL RD, Indiana, PA 15701

Other Identifiers 1

Medicaid1007713530001PA

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

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

Clinicians Billing Medicare Through This Organization

11

Medicare enrollment records show 11 clinicians reassign Medicare billing to Indiana Regional Medical Center, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Nurse Practitioner6
Emergency Medicine4
Sports Medicine1

Clinicians, nearest first (11)

Nurse Practitioner
NPI 1942964986
835 HOSPITAL RD
Indiana, PA 15701
(724) 357-7000
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1528090172
835 HOSPITAL ROAD EMERGENCY DEPARTMENT
Indiana, PA 15701
(724) 357-7121
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1497352017
1070 WAYNE AVE
Indiana, PA 15701
(724) 549-1246
✔ PECOS✔ Accepts Medicare0.4 mi
Nurse Practitioner
NPI 1881350601
850 HOSPITAL RD STE 2200
Indiana, PA 15701
(724) 464-0270
✔ PECOS✔ Accepts Medicare0.5 mi
Nurse Practitioner
NPI 1679034284
2128 OAKLAND AVE
Indiana, PA 15701
(724) 349-4362
✔ PECOS✔ Accepts Medicare1.2 mi
Nurse Practitioner
NPI 1821290776
25 COLONY BLVD
Blairsville, PA 15717
(724) 459-1700
✔ PECOS✔ Accepts Medicare8.6 mi
Emergency Medicine
NPI 1265407753
25 COLONY BLVD URGI-CARE CENTER
Blairsville, PA 15717
(724) 459-1700
✔ PECOS✔ Accepts Medicare12 mi
Nurse Practitioner
NPI 1285309880
1 NOLTE DR
Kittanning, PA 16201
(724) 543-8141
✔ PECOS✔ Accepts Medicare20 mi
Emergency Medicine
NPI 1306224860
1086 FRANKLIN ST
Johnstown, PA 15905
(814) 534-3745
✔ PECOS✔ Accepts Medicare24 mi
Emergency Medicine
NPI 1174568331
2 HOT METAL ST ERMI QUANTUM ONE
Pittsburgh, PA 15203
(412) 432-7424
✔ PECOS✔ Accepts Medicare44 mi
Sports Medicine
NPI 1275190985
3501 CLEMSON BLVD STE 1
Anderson, SC 29621
(864) 512-3452
✔ PECOS✔ Accepts Medicare460 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 Indiana Regional Medical Center's NPI number?

The NPI number for Indiana Regional Medical Center is 1366790750. It was assigned to this organization in the NPPES registry on August 16, 2012.

Where is Indiana Regional Medical Center located?

Indiana Regional Medical Center is located at 835 Hospital Rd Urgicare At Irmc, Indiana, PA 15701. The listed phone number is (724) 357-7493.

What is Indiana Regional Medical Center's specialty?

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

Is Indiana Regional Medical Center enrolled in Medicare?

Yes. Indiana Regional Medical Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Indiana Regional Medical Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 3 Medicare specialties reassign their Medicare billing to Indiana Regional Medical Center. 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 (6), Emergency Medicine (4) and Sports Medicine (1). Of these, 2 practice at this address and 6 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 Indiana Regional Medical Center was last updated on July 10, 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.