ICEM-WISHARD LLC
NPI 1629304134
Emergency Medicine in Indianapolis, IN
About Icem-wishard Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ICEM-WISHARD LLC (NPI 1629304134) is a healthcare organization registered as an emergency medicine in Indianapolis, Indiana and active in the NPI registry since October 2009. The organization lists Lisa Braun, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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)
Icem-wishard Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
126Medicare enrollment records show 126 clinicians reassign Medicare billing to Icem-Wishard LLC, which bills Medicare for the services they deliver. Of these, 107 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 5
Nearest to this location (20)
See all 126Indianpolis, IN 46202
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 Icem-Wishard LLC's NPI number?
The NPI number for Icem-Wishard LLC is 1629304134. It was assigned to this organization in the NPPES registry on October 19, 2009.
Where is Icem-Wishard LLC located?
Icem-Wishard LLC is located at 1001 W 10th St, Indianapolis, IN 46202. The listed phone number is (317) 630-7276.
What is Icem-Wishard LLC's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Icem-Wishard LLC enrolled in Medicare?
Yes. Icem-Wishard LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Icem-Wishard LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 126 clinicians in 5 Medicare specialties reassign their Medicare billing to Icem-Wishard LLC. 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 Emergency Medicine (121), Pediatric Medicine (2) and Internal Medicine (1). Of these, 107 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Icem-Wishard LLC accept?
Health plans from Anthem Blue Cross and Blue Shield and CareSource list Icem-Wishard LLC 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 Icem-Wishard LLC was last updated on October 19, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Icem-Wishard Llc · NPI 1629304134
Emergency Medicine organization in Indianapolis, Indiana. Organization record, active in the CMS NPPES registry since October 19, 2009.
## Identity
- **NPI:** 1629304134 (Entity type: Organization)
- **Enumerated:** October 19, 2009
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **Organization subpart:** No
- **Authorized official:** Lisa Braun, ADMINISTRATOR
## Practice location
- **Address:** 1001 W 10TH ST, Indianapolis, IN 46202-2859
- **Phone:** (317) 630-7276
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 126 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Emergency Medicine (121), Pediatric Medicine (2), Internal Medicine (1); 107 practice within 10 miles; [full list](https://npiprofile.com/npi/1629304134/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 19, 2009
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Source: [NPI Profile](https://npiprofile.com/npi/1629304134) · Data from the CMS NPPES public registry.