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AMERICAN HEALTH NETWORK OF INDIANA, LLC
NPI 1417044454
Durable Medical Equipment & Medical Supplies in Avon, IN

Active since October 10, 2006CLIA 15D0352644 · Waiver
8607 E US HIGHWAY 36 STE 100, AVON, IN 46123(317) 745-5403(317) 745-8017 Get Directions Write a Review

NPPES record last updated: April 9, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 9, 2020, Jun 22, 2017 (2 updates tracked since 2017).

About American Health Network Of Indiana, Llc NPPES

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

AMERICAN HEALTH NETWORK OF INDIANA, LLC (NPI 1417044454) is a healthcare organization registered as a durable medical equipment & medical supplies in Avon, Indiana and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through February 4, 2027 and lists Ben H Park, President And Ceo, as its authorized official.

NPPES Registry Identity

NPI1417044454
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameAMERICAN HEALTH NETWORK OF INDIANA, LLC
Location Address8607 E US HIGHWAY 36 STE 100Avon, IN 46123-7960
Mailing Address8607 E Us Highway 36 Ste 100Avon, IN 46123-7960 · (317) 745-5403 · Fax (317) 745-8017
Phone(317) 745-5403
Fax(317) 745-8017
Organization SubpartYes
Authorized OfficialBen H ParkPresident And Ceo · (317) 580-6307
Enumeration DateOctober 10, 2006
Last NPPES UpdateApril 9, 20202 updates tracked since enumeration
NPPES CertifiedApril 9, 2020
✔ NPI 1417044454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
8607 E US HIGHWAY 36 STE 100, Avon, IN 46123
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Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

American Health Network Of Indiana, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

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 IDO20100930065220DME · Physician - PodiatryDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

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 15D0352644

American Health Network Of Indiana, LLC · Avon, IN
Active · expires Feb 4, 2027
CLIA Number15D0352644
Laboratory TypePhysician Office
Certificate Effective DateFebruary 5, 2025
Certificate Expiration DateFebruary 4, 2027
Laboratory DirectorMark R. Lamb
Laboratory Phone(317) 745-5403
Laboratory LocationAmerican Health Network Of Indiana, LLC8607 E Us Hwy 36, Avon, IN 46123
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 12

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

TARA E. KEGERIS FNP-C
Nurse Practitioner (Family)
8607 E US HIGHWAY 36 STE 100
AVON, IN 46123
Hendricks County (317) 745-5403
MARK BENSON DO
Family Medicine
8607 E US HIGHWAY 36 STE 100
AVON, IN 46123
Hendricks County (317) 745-5403
MARK LAMB MD
Family Medicine
8607 E US HIGHWAY 36 STE 100
AVON, IN 46123
Hendricks County (317) 745-5403
DR. ABBIE M TOLLIVER MD
Internal Medicine
8607 E US HIGHWAY 36 STE 100
AVON, IN 46123
Hendricks County (317) 745-5403
CHRISTOPHER M WILSON MD
Psychiatry & Neurology (Neurology)
8607 E US HIGHWAY 36 STE 100
AVON, IN 46123
Hendricks County (317) 208-3855
MARY SCHMOLL NP
Nurse Practitioner
8607 E US HIGHWAY 36 STE 100
AVON, IN 46123
Hendricks County (317) 745-5403
GINA C DAVIS FNP-C
Nurse Practitioner (Family)
8607 E US HIGHWAY 36 STE 100
AVON, IN 46123
Hendricks County (317) 208-3855
KAREN NELSON FNP-C
Nurse Practitioner (Family)
8607 E US HIGHWAY 36 STE 100
AVON, IN 46123
Hendricks County (317) 745-5403

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 American Health Network Of Indiana, LLC's NPI number?

The NPI number for American Health Network Of Indiana, LLC is 1417044454. It was assigned to this organization in the NPPES registry on October 10, 2006.

Where is American Health Network Of Indiana, LLC located?

American Health Network Of Indiana, LLC is located at 8607 E Us Highway 36 Ste 100, Avon, IN 46123. The listed phone number is (317) 745-5403.

What is American Health Network Of Indiana, LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Is American Health Network Of Indiana, LLC enrolled in Medicare?

Yes. American Health Network Of Indiana, LLC is registered in the Medicare PECOS enrollment system.

When is American Health Network Of Indiana, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Indiana, Physician - Podiatry) is due for revalidation by November 30, 2026. 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.

Does American Health Network Of Indiana, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D0352644) is associated with this NPI, valid through February 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for American Health Network Of Indiana, LLC was last updated on April 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.