CENTRAL INDIANA MEDICAL GROUP
NPI 1720277544
Family Medicine in Indianapolis, IN

Q: What is Grand Old Docs Of The Southside's NPI number?

The NPI number for Grand Old Docs Of The Southside is 1720277544. It was assigned to this organization in the NPPES registry on October 17, 2007. The provider is doing business as Central Indiana Medical Group.

Q: What is Grand Old Docs Of The Southside's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since October 17, 2007

8920 SOUTHPOINTE DR, SUITE E-1, INDIANAPOLIS, IN 46227(317) 882-0535(317) 882-0173 Get Directions Write a Review

NPPES record last updated: June 27, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Central Indiana Medical Group NPPES

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

CENTRAL INDIANA MEDICAL GROUP (NPI 1720277544) is a healthcare organization registered as a family medicine in Indianapolis, Indiana and active in the NPI registry since October 2007. The organization lists Robert E Dicks, Md/owner, as its authorized official.

NPPES Registry Identity

NPI1720277544

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameGRAND OLD DOCS OF THE SOUTHSIDE

Location Address8920 SOUTHPOINTE DR, SUITE E-1Indianapolis, IN 46227-7509

Mailing Address1350 E County Line Rd, Suite IIndianapolis, IN 46227-0873 · (317) 882-0535 · Fax (317) 882-0173

Phone(317) 882-0535

Fax(317) 882-0173

Organization SubpartNo

Authorized OfficialRobert E DicksMd/owner · (317) 882-0535

Enumeration DateOctober 17, 2007

Last NPPES UpdateJune 27, 2008

✔ NPI 1720277544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IN · 01022713A

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

8920 SOUTHPOINTE DR, Indianapolis, IN 46227

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Other Names 1

Doing Business AsCentral Indiana Medical Group

Other Identifiers 3

OtherCI4722IN · Group Rr Mce #

Medicare PIN132440IN

Medicare UPINC24263IN

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

Other Providers at the Same Location NPPES 12

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

AMANDA FRANCES MILLER D.D.S.

Dentist (General Practice)

8920 SOUTHPOINTE DR, SUITE A-1
INDIANAPOLIS, IN 46227

Marion County (317) 881-8161

DR. XIANFENG ZHU MD

Internal Medicine

8920 SOUTHPOINTE DR, SUITE B
INDIANAPOLIS, IN 46227

Marion County (317) 497-1900

SHABNAM MOSHREF D.O.

Internal Medicine

8920 SOUTHPOINTE DR, SUITE B
INDIANAPOLIS, IN 46227

Marion County (317) 497-1900

DOUGLAS R FLINT MD

Family Medicine

8920 SOUTHPOINTE DR, SUITE B
INDIANAPOLIS, IN 46227

Marion County (317) 497-1900

SHANNON MARIE ROMINE LCSW

Social Worker (Clinical)

8920 SOUTHPOINTE DR, SUITE E-2
INDIANAPOLIS, IN 46227

Marion County (317) 882-0427

JAYENDER REDDY CHINTAPARTHI MD

Internal Medicine (Endocrinology, Diabetes & Metabolism)

8920 SOUTHPOINTE DR, STE D2
INDIANAPOLIS, IN 46227

Marion County (317) 621-1006

BRENDA R RUSSELL MD

Family Medicine

8920 SOUTHPOINTE DR, SUITE B
INDIANAPOLIS, IN 46227

Marion County (317) 497-1900

DR. DAVID H. WOLF D.D.S.

Dentist (General Practice)

8920 SOUTHPOINTE DR, SUITE A-1
INDIANAPOLIS, IN 46227

Marion County (317) 881-8161

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 Grand Old Docs Of The Southside's NPI number?

The NPI number for Grand Old Docs Of The Southside is 1720277544. It was assigned to this organization in the NPPES registry on October 17, 2007. The provider is doing business as Central Indiana Medical Group.

Where is Grand Old Docs Of The Southside located?

Grand Old Docs Of The Southside is located at 8920 Southpointe Dr Suite E-1, Indianapolis, IN 46227. The listed phone number is (317) 882-0535.

What is Grand Old Docs Of The Southside's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Grand Old Docs Of The Southside was last updated on June 27, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.