NORTHSIDE GASTROENTEROLOGY, INC., PC
NPI 1568578201
Internal Medicine - Gastroenterology in Indianapolis, IN

Active since August 23, 2006CLIA 15D2163915 · Certificate of Compliance
8424 NAAB RD, SUITE 3-J, INDIANAPOLIS, IN 46260(317) 872-7396(317) 879-8328 Get Directions Write a Review

NPPES record last updated: February 8, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 8, 2019, Jul 13, 2018 (2 updates tracked since 2018).

About Northside Gastroenterology, Inc., Pc NPPES

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

NORTHSIDE GASTROENTEROLOGY, INC., PC (NPI 1568578201), doing business as Northside Gastroenterology, is a healthcare organization registered as a gastroenterology in Indianapolis, Indiana and active in the NPI registry since August 2006. The organization holds a CLIA Certificate of Compliance certificate valid through August 18, 2027 and lists Galinton Bryan, Practice Admin, as its authorized official.

NPPES Registry Identity

NPI1568578201
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameNORTHSIDE GASTROENTEROLOGY, INC., PC
Location Address8424 NAAB RD, SUITE 3-JIndianapolis, IN 46260
Mailing Address8424 Naab Rd, Suite 3-jIndianapolis, IN 46260-5918 · (317) 872-7396 · Fax (317) 879-8328
Fax(317) 879-8328
Organization SubpartNo
Authorized OfficialGalinton BryanPractice Admin · (317) 872-7396
Enumeration DateAugust 23, 2006
Last NPPES UpdateFebruary 8, 20192 updates tracked since enumeration
✔ NPI 1568578201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
8424 NAAB RD, Indianapolis, IN 46260

Other Names 1

Former Legal Business NameNorthside Gastroenterology

Other Identifiers 1

Medicaid100177420IN

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

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Northside Gastroenterology, Inc., Pc 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 Northside Gastroenterology, Inc., PC, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 8 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Gastroenterology6
Nurse Practitioner3
Pathology2

Clinicians, nearest first (11)

Gastroenterology
NPI 1669474292
8424 NAAB RD #3-J
Indianapolis, IN 46260
(317) 872-7396
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1376512087
8424 NAAB RD STE 3J
Indianapolis, IN 46260
(317) 872-7396
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1609878214
8424 NAAB RD #3-J
Indianapolis, IN 46260
(317) 872-7396
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1548252463
8424 NAAB RD 3-J
Indianapolis, IN 46260
(317) 872-7396
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1679731046
8424 NAAB RD SUITE 3J
Indianapolis, IN 46260
(317) 872-7396
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1831060862
8424 NAAB RD
Indianapolis, IN 46260
(317) 871-7308
✔ PECOSSame address
Gastroenterology
NPI 1003818626
8424 NAAB RD #3-J
Indianapolis, IN 46260
(317) 872-7396
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1427538529
10300 N ILLINOIS ST STE 1100
Carmel, IN 46290
(317) 944-0980
✔ PECOS✔ Accepts Medicare2.7 mi
Pathology
NPI 1386711711
2560 N SHADELAND AVE STE A
Indianapolis, IN 46219
(866) 463-7284
✔ PECOS✔ Accepts Medicare11 mi
Pathology
NPI 1841448180
2560 N SHADELAND AVE STE A
Indianapolis, IN 46219
(317) 275-8000
✔ PECOS✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1629419908
1210 TANGLEWOOD DR
Mount Vernon, IN 47620
(317) 331-3109
✔ PECOS✔ Accepts Medicare165 mi

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

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 Compliance 15D2163915

Northside Gastroenterology, Inc, PC · Indianapolis, IN
Active · expires Aug 18, 2027
CLIA Number15D2163915
Laboratory TypeRead Only Pathology Labor
Certificate Effective DateAugust 19, 2025
Certificate Expiration DateAugust 18, 2027
Laboratory DirectorAnjali S. Godambe
Laboratory Phone(317) 872-7396
Laboratory LocationNorthside Gastroenterology, Inc, PC8424 Naab Rd, Suite 3J, Indianapolis, IN 46260
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Northside Gastroenterology, Inc., PC's NPI number?

The NPI number for Northside Gastroenterology, Inc., PC is 1568578201. It was assigned to this organization in the NPPES registry on August 23, 2006. The provider was formerly known as Northside Gastroenterology.

Where is Northside Gastroenterology, Inc., PC located?

Northside Gastroenterology, Inc., PC is located at 8424 Naab Rd Suite 3-J, Indianapolis, IN 46260. The listed phone number is (317) 872-7396.

What is Northside Gastroenterology, Inc., PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Northside Gastroenterology, Inc., PC enrolled in Medicare?

Yes. Northside Gastroenterology, Inc., PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Northside Gastroenterology, Inc., PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 3 Medicare specialties reassign their Medicare billing to Northside Gastroenterology, Inc., PC. 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 Gastroenterology (6), Nurse Practitioner (3) and Pathology (2). Of these, 6 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Northside Gastroenterology, Inc., PC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 15D2163915) is associated with this NPI, valid through August 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Northside Gastroenterology, Inc., PC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield list Northside Gastroenterology, Inc., PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Northside Gastroenterology, Inc., PC was last updated on February 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.