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INTEGRATIVE HEALTH SPECIALIST OF INDIANA PC
NPI 1689629511
Internal Medicine in Indianapolis, IN

Active since May 22, 2006CLIA 15D0997134 · Waiver
9333 N MERIDIAN ST, STE 202, INDIANAPOLIS, IN 46260(317) 580-9333(317) 818-8933 Get Directions Write a Review

NPPES record last updated: June 25, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Integrative Health Specialist Of Indiana Pc NPPES

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

INTEGRATIVE HEALTH SPECIALIST OF INDIANA PC (NPI 1689629511) is a healthcare organization registered as an internal medicine in Indianapolis, Indiana and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through March 5, 2028 and lists Kim Grider, Business Administrator, as its authorized official.

NPPES Registry Identity

NPI1689629511
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameINTEGRATIVE HEALTH SPECIALIST OF INDIANA PC
Location Address9333 N MERIDIAN ST, STE 202Indianapolis, IN 46260-1872
Mailing Address9333 N Meridian St, Ste 202Indianapolis, IN 46260-1872 · (317) 580-9333 · Fax (317) 818-8933
Phone(317) 580-9333
Fax(317) 818-8933
Organization SubpartNo
Authorized OfficialKim GriderBusiness Administrator · (317) 781-3604
Enumeration DateMay 22, 2006
Last NPPES UpdateJune 25, 2013
✔ NPI 1689629511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
9333 N MERIDIAN ST, Indianapolis, IN 46260
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Other Identifiers 8

Medicare PIN223880DIN
Other1619947710IN · Individual Npi
Other1629048715IN · Individual Npi
Medicare ID-Type Unspecified223880IN
Other000000243460IN · Anthem
Medicare PIN223880AIN
Medicare PIN223880CIN
Other1558331652IN · Individual Npi

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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)

Integrative Health Specialist Of Indiana Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Integrative Health Specialist Of Indiana PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Alina Montis Lukaszewicz, FNP
Nurse Practitioner
NPI 1336022482
9333 N MERIDIAN ST STE 101
Indianapolis, IN 46260
(317) 580-9333
✔ PECOS✔ Accepts MedicareSame address
Rhonda Marsh, NP
Nurse Practitioner
NPI 1629048715
9333 N MERIDIAN ST SUITE 202
Indianapolis, IN 46260
(317) 580-9333
✔ PECOS✔ Accepts MedicareSame address
Macy Louthain
Nurse Practitioner
NPI 1295419281
475 E NORTHFIELD DR STE B
Brownsburg, IN 46112
(317) 286-3147
✔ PECOS✔ Accepts Medicare14 mi
Sarah Crook, NP
Nurse Practitioner
NPI 1730148768
7916 W JEFFERSON BLVD
Fort Wayne, IN 46804
(260) 432-2297
✔ PECOS✔ Accepts Medicare90 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 Waiver 15D0997134

Integrative Health Specialists Of Indiana · Indianapolis, IN
Active · expires Mar 5, 2028
CLIA Number15D0997134
Laboratory TypePhysician Office
Certificate Effective DateMarch 6, 2026
Certificate Expiration DateMarch 5, 2028
Laboratory DirectorRhonda J. Marsh
Laboratory Phone(317) 580-9333
Laboratory LocationIntegrative Health Specialists Of Indiana9333 North Meridian Street, Suite 101, Indianapolis, IN 46260
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Integrative Health Specialist Of Indiana PC's NPI number?

The NPI number for Integrative Health Specialist Of Indiana PC is 1689629511. It was assigned to this organization in the NPPES registry on May 22, 2006.

Where is Integrative Health Specialist Of Indiana PC located?

Integrative Health Specialist Of Indiana PC is located at 9333 N Meridian St Ste 202, Indianapolis, IN 46260. The listed phone number is (317) 580-9333.

What is Integrative Health Specialist Of Indiana PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Integrative Health Specialist Of Indiana PC enrolled in Medicare?

Yes. Integrative Health Specialist Of Indiana PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Integrative Health Specialist Of Indiana PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Integrative Health Specialist Of Indiana 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Integrative Health Specialist Of Indiana PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D0997134) is associated with this NPI, valid through March 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Integrative Health Specialist Of Indiana PC accept?

Health plans from Anthem Blue Cross and Blue Shield list Integrative Health Specialist Of Indiana 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 Integrative Health Specialist Of Indiana PC was last updated on June 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.