Eric S Ebenroth

MD | Pediatric Cardiology | Male

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Complete Profile:

Eric S Ebenroth basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Cardiology
Provider Name :	Eric S Ebenroth
Credential :	MD
Gender :	Male

Business Address:

Eric S Ebenroth address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	705 Riley Hospital Dr, Ri 1134 Indianapolis, IN, 46202-5109 United States
Phone Number :	317-944-8906
Fax Number :	317-944-9330

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1134237100
NPI Entity Type :	Individual
First Enrolment Date :	29 Aug, 2006
Last Updated On :	16 Jun, 2021

Medicare Participation:

Eric S Ebenroth participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	6305033275
Medicare Enrollment ID :	I20101206000420
Primary Specialty :	Cardiovascular Disease (cardiology)
Medical School :	Indiana University School Of Medicine
Graduation Year :	1990
Accepts Medicare?	Yes. Eric S Ebenroth accepts medicare insurance.

Group Practice Association:

Eric S Ebenroth is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Eric S Ebenroth is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
University Pediatric Associates, Inc.	2163326794	123	705 Riley Hospital Dr Indianapolis, IN - 462025109 Ph: 3179445000	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Eric S Ebenroth are as mentioned. Primary taxonomy code for Eric S Ebenroth, MD is 2080P0202X (Pediatrics Pediatric Cardiology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0202X	Pediatrics Pediatric Cardiology	Yes	01047416	IN

Legacy Identifiers:

Other legacy medical identifiers of Eric S Ebenroth such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
200285800	MEDICAID	IN

Endpoints:

Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	Po Box 1026 Indianapolis, IN, 46206-1026 United States
Phone Number :	317-777-6435
Fax Number :	317-777-6644

Business Location:

Patients can refer following map for directions to Eric S Ebenroth practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.