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AMERIPATH INDIANAPOLIS PC
NPI 1942374517
Pathology - Anatomic Pathology & Clinical Pathology in Indianapolis, IN

Active since November 17, 2006CLIA 15D2155751 · Accreditation
2560 N SHADELAND AVE, SUITE A, INDIANAPOLIS, IN 46219(317) 275-8000(317) 275-8124 Get Directions Write a Review

NPPES record last updated: July 29, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 29, 2026, Feb 20, 2025, Apr 4, 2022 and 1 more (4 updates tracked since 2022).

About Ameripath Indianapolis Pc NPPES

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

AMERIPATH INDIANAPOLIS PC (NPI 1942374517) is a healthcare organization registered as an anatomic pathology & clinical pathology in Indianapolis, Indiana and active in the NPI registry since November 2006. The organization holds an CLIA Accreditation certificate valid through September 29, 2028 and lists Robert Quirey, Ao, as its authorized official.

NPPES Registry Identity

NPI1942374517
Entity TypeOrganization
Primary Taxonomy207ZP0102X
Legal Business NameAMERIPATH INDIANAPOLIS PC
Location Address2560 N SHADELAND AVE, SUITE AIndianapolis, IN 46219-1706
Mailing Address4770 Regent BlvdIrving, TX 75063-2445 · (866) 697-8378
Phone(317) 275-8000
Fax(317) 275-8124
Organization SubpartYesParent: Ameripath Inc.
Authorized OfficialRobert QuireyAo · (800) 890-6220
Enumeration DateNovember 17, 2006
Last NPPES UpdateJuly 29, 20264 updates tracked since enumeration
NPPES CertifiedJuly 29, 2026
✔ NPI 1942374517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in IN · 15D1052105
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
2560 N SHADELAND AVE, Indianapolis, IN 46219
Open in Google Maps ↗

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 Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ameripath Indianapolis Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateIndianaEnrollment IDO20040817000697Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

36

Medicare enrollment records show 36 clinicians reassign Medicare billing to Ameripath Indianapolis PC, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 21 within 10 miles. Listed here are the 20 practicing nearest to this location.

Nearest to this location (20)

See all 36
Mayyadah Al-Nuaimi, MD
Pathology
NPI 1154881720
2560 N SHADELAND AVE STE A
Indianapolis, IN 46219
(800) 890-6220
✔ PECOS✔ Accepts MedicareSame address
Maha Khedr
Pathology
NPI 1750814380
2560 N SHADELAND AVE STE A
Indianapolis, IN 46219
(800) 890-6220
✔ PECOS✔ Accepts MedicareSame address
Joel Lanceta, MD, PHD
Pathology
NPI 1154826394
2560 N SHADELAND AVE STE A
Indianapolis, IN 46219
(800) 890-6220
✔ PECOS✔ Accepts MedicareSame address
Anas Saad, MD
Pathology
NPI 1063092997
2560 N SHADELAND AVE STE A
Indianapolis, IN 46219
(800) 890-6220
✔ PECOS✔ Accepts MedicareSame address
Albert Sy, MD
Pathology
NPI 1689200586
2560 N SHADELAND AVE
Indianapolis, IN 46219
(317) 275-8000
✔ PECOS✔ Accepts MedicareSame address
Edward Wills, MD
Pathology
NPI 1043297062
2560 N. SHADELAND AVE. SUITE A
Indianapolis, IN 46219
(317) 275-8072
✔ PECOS✔ Accepts MedicareSame address
Andrew Mcdaniel, M.D., PH.D.
Pathology
NPI 1801117387
2560 N SHADELAND AVE STE A
Indianapolis, IN 46219
(800) 890-6220
✔ PECOS✔ Accepts MedicareSame address
Manan Patel, MD
Pathology
NPI 1003074485
2560 N. SHADELAND AVENUE SUITE A
Indianapolis, IN 46219
(317) 275-8072
✔ PECOS✔ Accepts Medicare0.1 mi
Rickinder Bains, D.O.
Pathology
NPI 1275779027
2560 N. SHADELAND AVE., STE. A
Indianapolis, IN 46219
(317) 275-8022
✔ PECOS✔ Accepts Medicare0.2 mi
Modeson-Samuel Ferrer, M.D.
Pathology
NPI 1386711711
2560 N SHADELAND AVE STE A
Indianapolis, IN 46219
(866) 463-7284
✔ PECOS✔ Accepts Medicare0.2 mi
Anjali Godambe, D.O.
Pathology
NPI 1841448180
2560 N SHADELAND AVE STE A
Indianapolis, IN 46219
(317) 275-8000
✔ PECOS✔ Accepts Medicare0.2 mi
Brian Hornback, MD
Pathology
NPI 1528036043
2560 N SHADELAND AVE STE A
Indianapolis, IN 46219
(800) 890-6220
✔ PECOS✔ Accepts Medicare0.2 mi
Daniel Klink, M.D.
Pathology
NPI 1962624445
2560 N SHADELAND AVENUE SUITE A
Indianapolis, IN 46219
(317) 275-8072
✔ PECOS✔ Accepts Medicare0.2 mi
Ryan Mccarthy, M.D.
Pathology
NPI 1508928672
2560 N. SHADELAND AVE SUITE A
Indianapolis, IN 46219
(317) 275-8072
✔ PECOS✔ Accepts Medicare0.2 mi
Adam Miller, M.D.
Pathology
NPI 1871904920
2560 N SHADELAND AVE STE A
Indianapolis, IN 46219
(800) 890-6220
✔ PECOS✔ Accepts Medicare0.2 mi
Robert Quirey, MD
Pathology
NPI 1669459871
2560 N. SHADELAND AVE. SUITE A
Indianapolis, IN 46219
(317) 275-8072
✔ PECOS✔ Accepts Medicare0.2 mi
Sheila Roumpf, M.D.
Pathology
NPI 1356308084
2560 N. SHADELAND AVENUE SUITE A
Indianapolis, IN 46219
(317) 275-8072
✔ PECOS✔ Accepts Medicare0.2 mi
Michael Sever, M.D.
Pathology
NPI 1164586434
2560 N. SHADELAND AVE SUITE A
Indianapolis, IN 46219
(317) 275-8072
✔ PECOS✔ Accepts Medicare0.2 mi
Ann Marshall, M.D.
Pathology
NPI 1285861625
350 W 11TH ST
Indianapolis, IN 46202
(317) 491-6000
✔ PECOS✔ Accepts Medicare6.5 mi
Bianca Puello, MD
Pathology
NPI 1851854061
350 W 11TH ST
Indianapolis, IN 46202
(317) 274-2476
✔ PECOS✔ Accepts Medicare6.5 mi
See all 36 clinicians

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 2

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 Accreditation 15D2155751

Ameripath Indiana/Major Hospital · Shelbyville, IN
Active · expires Sep 29, 2028
CLIA Number15D2155751
Laboratory TypeIndependent
Certificate Effective DateSeptember 30, 2026
Certificate Expiration DateSeptember 29, 2028
Laboratory DirectorDr. Jamie K. Donnelly
Laboratory Phone(317) 275-8000
Laboratory LocationAmeripath Indiana/Major Hospital2451 Intelliplex Drive, Shelbyville, IN 46176
CLIA data matches this NPI record on: Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Accreditation 15D1002565

Ameripath Indiana · Indianapolis, IN
Expired · Oct 14, 2026
CLIA Number15D1002565
Laboratory TypeIndependent
Certificate Effective DateOctober 15, 2024
Certificate Expiration DateOctober 14, 2026
Laboratory DirectorDr. Jamie K. Donnelly
Laboratory Phone(317) 275-8000
Laboratory LocationAmeripath Indiana2560 N Shadeland Ave Ste A, Indianapolis, IN 46219
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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 Ameripath Indianapolis PC's NPI number?

The NPI number for Ameripath Indianapolis PC is 1942374517. It was assigned to this organization in the NPPES registry on November 17, 2006.

Where is Ameripath Indianapolis PC located?

Ameripath Indianapolis PC is located at 2560 N Shadeland Ave Suite A, Indianapolis, IN 46219. The listed phone number is (317) 275-8000.

What is Ameripath Indianapolis PC's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Ameripath Indianapolis PC enrolled in Medicare?

Yes. Ameripath Indianapolis PC is registered in the Medicare PECOS enrollment system.

When is Ameripath Indianapolis PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Indiana, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Ameripath Indianapolis PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 36 clinicians, all in Pathology, reassign their Medicare billing to Ameripath Indianapolis 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, 7 practice at this address and 21 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Ameripath Indianapolis PC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 15D2155751) is associated with this NPI, valid through September 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ameripath Indianapolis PC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Molina Healthcare and 1 other insurer list Ameripath Indianapolis 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 Ameripath Indianapolis PC was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.