INDIANAPOLIS PERIOPERATIVE MEDICINE, LLC
NPI 1720285976
Internal Medicine in Fishers, IN
NPI Status: Active since June 29, 2007
Contact Information
13000 E 136TH ST
SUITE 1100
FISHERS, IN
ZIP 46037
Phone: (317) 678-3585
Fax: (317) 863-5084
- Organization
- Internal Medicine
- Accepts Insurance
- CLIA Number: 15D1011801
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 07-30-2025
About INDIANAPOLIS PERIOPERATIVE MEDICINE, LLC
This page provides the complete NPI Profile along with additional information for Indianapolis Perioperative Medicine, Llc, an internist established in Fishers, Indiana operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1720285976 assigned on June 2007. The practitioner's primary taxonomy code is 207R00000X with license number 1053181A (IN). The provider is registered as an organization and their NPI record was last updated 11 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Peter Caccavallo M.d. (Owner)
- NPI
- 1720285976
- Provider Name
- INDIANAPOLIS PERIOPERATIVE MEDICINE, LLC
- Entity Type
- Organization
- Location Address
- 13000 E 136TH ST SUITE 1100 FISHERS, IN 46037
- Location Phone
- (317) 678-3585
- Location Fax
- (317) 863-5084
- Mailing Address
- 13000 E 136TH ST SUITE 1100 FISHERS, IN 46037
- Mailing Phone
- (317) 678-3585
- Mailing Fax
- (317) 863-5084
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-29-2007
- Last Update Date
- 07-15-2014
- Code Navigator
An internist like Indianapolis Perioperative Medicine, Llc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 1053181A
- License State
- IN
- Taxonomy Description
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Clear Silver - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Central Bronze - HMO
- Central Bronze + Vision + Adult Dental - HMO
- Central Gold - HMO
- Central Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 202680 | MEDICARE ID-TYPE UNSPECIFIED (04) | IN | MEDICARE GROUP |
| DE0272 | OTHER (01) | IN | RR MEDICARE GROUP |
| 200424870-A | MEDICAID (05) | IN |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 15D1011801
- Facility Type
- Physician Office
- Certificate Effective Date
- July 31, 2023
- Certificate Expiration Date
- July 30, 2025
- Laboratory Director
- PETER P. CACCAVALLO
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Indianapolis Perioperative Medicine, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 2 | 0 | 2 | 8 | 5 | 9 | 7 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 4 | 0 | 4 | 8 | 10 | 9 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 4 + 0 + 4 + 8 + 1 + 0 + 9 + 1 + 4 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1720285976 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 15 providers are registered at the same or nearby location.
DR. PETER CACCAVALLO
Internal Medicine
13000 E 136TH ST
SUITE 1100
FISHERS, IN
ZIP 46037
INDIANAPOLIS PERIOPERATIVE MEDICINE
Physician Assistant
(Medical)
13000 E 136TH ST
STE. 1100
FISHERS, IN
ZIP 46037
MATTHIEU ZINGG
Orthopaedic Surgery
(Adult Reconstructive Orthopaedic Surgery)
13000 E 136TH ST
FISHERS, IN
ZIP 46037
DR. GAURAV ARORA M.D.
Emergency Medicine
13000 E 136TH ST
FISHERS, IN
ZIP 46037
DR. CHARLOTTE ORR SEASLY MD
Emergency Medicine
13000 E 136TH ST
FISHERS, IN
ZIP 46037
DR. LARRY H STEVENS MD
Surgery
13000 E 136TH ST
FISHERS, IN
ZIP 46037
MICHAEL J BOJRAB M.D.
Emergency Medicine
13000 E 136TH ST
FISHERS, IN
ZIP 46037
MARIANNA ZAGUROVSKAYA M.D.
Radiology
(Diagnostic Radiology)
13000 E 136TH ST
FISHERS, IN
ZIP 46037
SAMANTHA DAILY CNS
Clinical Nurse Specialist
(Medical-Surgical)
13000 E 136TH ST
FISHERS, IN
ZIP 46037
TRICIA JACLYN KREUTER M.D.
Emergency Medicine
13000 E 136TH ST
FISHERS, IN
ZIP 46037
TODD M JOHNSON MD
Radiology
(Diagnostic Radiology)
13000 E 136TH ST
FISHERS, IN
ZIP 46037
ALEC EMILIO RIVERA NP
Nurse Practitioner
(Family)
13000 E 136TH ST
FISHERS, IN
ZIP 46037
JOSHUA RONALD HARMER MD
Orthopaedic Surgery
13000 E 136TH ST
FISHERS, IN
ZIP 46037
MARZIEH T NADERI NP
Nurse Practitioner
(Family)
13000 E 136TH ST
FISHERS, IN
ZIP 46037
NAWAR AL NASRALLAH MD
Internal Medicine
(Pulmonary Disease)
13000 E 136TH ST
FISHERS, IN
ZIP 46037
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720285976, enumerated as an "organization" on June 29, 2007.
The provider is located at 13000 E 136TH ST SUITE 1100 FISHERS, IN 46037 and the phone number is (317) 678-3585.
Internal Medicine with taxonomy code 207R00000X.
The provider might be accepting Accepts: Ambetter from Meridian, Ambetter Health, Ambetter. Please consult your insurance carrier or call the provider to verify.
