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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: August 02, 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
Phone(317) 872-7396
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.
Also ListedPathology · Anatomic Pathology & Clinical PathologyTaxonomy 207ZP0102X
8424 NAAB RD, Indianapolis, IN 46260
Open in Google Maps ↗

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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health.Insurance ›

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.

Other Providers at the Same Location NPPES 20

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

LAWRENCE JOHN BORN MD
Internal Medicine (Gastroenterology)
8424 NAAB RD, #3-J
INDIANAPOLIS, IN 46260
Marion County (317) 872-7396
FREDERICK DANIEL LANDIS III MD
Internal Medicine (Gastroenterology)
8424 NAAB RD, 3-J
INDIANAPOLIS, IN 46260
Marion County (317) 872-7396
JOHN L GEORGE, MD
Surgery
8424 NAAB RD, SUITE #2F
INDIANAPOLIS, IN 46260
Marion County (317) 870-0480
DARYL FOSTER DAUGHERTY MD
Internal Medicine (Gastroenterology)
8424 NAAB RD, #3-J
INDIANAPOLIS, IN 46260
Marion County (317) 872-7396
MARK JOSEPH LYBIK MD
Internal Medicine (Gastroenterology)
8424 NAAB RD, #3 J
INDIANAPOLIS, IN 46260
Marion County (317) 872-7396
LISA RENEE SCHOENROCK CRNA
Nurse Anesthetist, Certified Registered
8424 NAAB RD, SUITE 3 J
INDIANAPOLIS, IN 46260
Marion County (248) 930-7683
THOMAS M BROGAN MD
Family Medicine
8424 NAAB RD, STE. 1C
INDIANAPOLIS, IN 46260
Marion County (317) 875-7221
HOLISTIC MEDICAL AND WELLNESS CENTER OF IN, LLC
Clinic/Center (Primary Care)
8424 NAAB RD, SUITE 3P
INDIANAPOLIS, IN 46260
Marion County (317) 608-6090

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.

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 and Ambetter from Meridian 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.