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INDIANA ENDOVASCULAR SPECIALISTS LLC
NPI 1417616525
Radiology - Vascular & Interventional Radiology in Lafayette, IN

Active since December 16, 2021
3743 LANDMARK DR STE 300, LAFAYETTE, IN 47905(317) 656-9089 Get Directions Write a Review

NPPES record last updated: February 22, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 22, 2022, Jan 18, 2022, Dec 16, 2021 (3 updates tracked since 2021).

About Indiana Endovascular Specialists Llc NPPES

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

INDIANA ENDOVASCULAR SPECIALISTS LLC (NPI 1417616525) is a healthcare organization registered as a vascular & interventional radiology in Lafayette, Indiana and active in the NPI registry since December 2021. The organization lists Brandon K Martinez, Owner And Medical Director, as its authorized official.

NPPES Registry Identity

NPI1417616525
Entity TypeOrganization
Primary Taxonomy2085R0204X
Legal Business NameINDIANA ENDOVASCULAR SPECIALISTS LLC
Location Address3743 LANDMARK DR STE 300Lafayette, IN 47905-6656
Mailing Address11502 Seafan CtIndianapolis, IN 46236-8913 · (317) 656-9089
Phone(317) 656-9089
Organization SubpartNo
Authorized OfficialBrandon K MartinezOwner And Medical Director · (317) 656-9089
Enumeration DateDecember 16, 2021
Last NPPES UpdateFebruary 22, 20223 updates tracked since enumeration
NPPES CertifiedFebruary 22, 2022
✔ NPI 1417616525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0204X
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X
Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X
3743 LANDMARK DR STE 300, Lafayette, IN 47905
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Other Identifiers 1

Medicaid201022130IN

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

Other Providers at the Same Location NPPES 2

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

INFINITY PEDIATRIC DENTISTRY LLC
Dentist (Pediatric Dentistry)
3743 LANDMARK DR STE 300
LAFAYETTE, IN 47905
Tippecanoe County (765) 340-7790
ELIZABETH STANDISH D.D.S., M.S.D.
Dentist (Pediatric Dentistry)
3743 LANDMARK DR STE 300
LAFAYETTE, IN 47905
Tippecanoe County (765) 340-7790

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 Endovascular Specialists LLC's NPI number?

The NPI number for Indiana Endovascular Specialists LLC is 1417616525. It was assigned to this organization in the NPPES registry on December 16, 2021.

Where is Indiana Endovascular Specialists LLC located?

Indiana Endovascular Specialists LLC is located at 3743 Landmark Dr Ste 300, Lafayette, IN 47905. The listed phone number is (317) 656-9089.

What is Indiana Endovascular Specialists LLC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

When was this NPI record last updated?

The NPPES record for Indiana Endovascular Specialists LLC was last updated on February 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.