CMS-1500 Box 24J / 33a • NPI
1164528543
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
208600000X (CMS 02)
Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)
Box 32 Service Location & ZIP+4
1115 RONALD REAGAN PKWY, SUITE 224, AVON, IN, 46123-6910
✓ 9-Digit EDI 837 ZIP+4 (46123-6910)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1164528543 (AMERICAN HEALTH NETWORK OF INDIANA, LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1164528543 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | AMERICAN HEALTH NETWORK OF INDIANA, LLC |
| Plain-English Specialty | Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon) NUCC Code: 208600000X (Surgery) |
| Certifying / Licensing Body | American Board of Orthopaedic Surgery (ABOS) |
| Practice Location Address | 1115 RONALD REAGAN PKWY, SUITE 224, AVON, IN, 46123-6910 |
| Practice Telephone / Fax | Tel: (317) 272-7352 | Fax: (317) 272-0984 |
| Administrative Mailing Address | 4850 CENTURY PLAZA RD, INDIANAPOLIS, IN, 46254-5476 |
| Enumeration & Last Sync | Enumerated: 2006-09-15 | CMS Record Updated: 2007-10-30 |
| Authorized Official | BEN PARK (President and CEO) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (208600000X)
What Does Taxonomy Code 208600000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 208600000X translates to:
"Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (AMERICAN HEALTH NETWORK OF INDIANA, LLC)
Typical CPT / Diagnostic Procedures:- Total Knee Arthroplasty (CPT 27447) & Total Hip Arthroplasty (CPT 27130)
- Arthroscopic Rotator Cuff & ACL Ligament Reconstruction
- Intra-Articular Corticosteroid & Hyaluronic Acid Joint Injections (CPT 20610)
- Fracture Reduction, Internal Fixation & Carpal Tunnel Release
- NSAIDs & Selective COX-2 Inhibitors (Meloxicam, Celecoxib, Naproxen)
- Intra-Articular Triamcinolone Acetonide & Methylprednisolone
- Postoperative Venous Thromboembolism (VTE) Prophylaxis (Apixaban, Rivaroxaban)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
2085R0202X — Radiology, Diagnostic RadiologyPlain English: Board-Certified Diagnostic Radiologist (MRI, CT, Ultrasound & X-Ray Specialist) | State: N/A | License: Verified | Primary: Secondary |
2085U0001X — Radiology, Diagnostic UltrasoundPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Radiology, Diagnostic Ultrasound | State: N/A | License: Verified | Primary: Secondary |
208600000X — SurgeryPlain English: Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon) | State: N/A | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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