CITYBLOCK MEDICAL PRACTICE, P.A.
NPI 1588296784
Internal Medicine in Indianapolis, IN
NPI Status: Active since February 06, 2020
Contact Information
2620 KESSLER BOULEVARD EAST DR STE 110
INDIANAPOLIS, IN
ZIP 46220
Phone: (800) 336-1100
- Organization
- Internal Medicine
- CLIA Number: 34D2173083
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 10-03-2025
About CITYBLOCK MEDICAL PRACTICE, P.A.
This page provides the complete NPI Profile along with additional information for Cityblock Medical Practice, P.a., an internist established in Indianapolis, Indiana operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1588296784 assigned on February 2020. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Cityblock Medical Practice, P.a. operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Oluwatoyin Ajayi Md (President)
- NPI
- 1588296784
- Provider Name
- CITYBLOCK MEDICAL PRACTICE, P.A.
- Entity Type
- Organization
- Location Address
- 2620 KESSLER BOULEVARD EAST DR STE 110 INDIANAPOLIS, IN 46220
- Location Phone
- (800) 336-1100
- Mailing Address
- 55 WATER ST # 4C BROOKLYN, NY 11201
- Mailing Phone
- (347) 401-1399
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-06-2020
- Last Update Date
- 12-08-2023
- Code Navigator
An internist like Cityblock Medical Practice, P.a. 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
Secondary Locations
- 4444 The Plz
Charlotte, NC 28215
(336) 360-2407 - 100 Grove St
Worcester, MA 01605
(833) 904-0620 - 1840 Owen Dr Ste 105
Fayetteville, NC 28304
(833) 904-2273 - 3333 Brookview Hills Blvd
Winston Salem, NC 27103
(833) 904-2273 - 624 Quaker Ln Ste C200
High Point, NC 27262
(833) 904-2273 - 1439 E Cone Blvd
Greensboro, NC 27405
(833) 904-2273 - 495 Flatbush Ave Ste C5
Brooklyn, NY 11225
(347) 463-5529
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
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | |
| 2 | 2084P0800X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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
- 34D2173083
- Facility Type
- Physician Office
- Certificate Effective Date
- October 04, 2023
- Certificate Expiration Date
- October 03, 2025
- Laboratory Director
- DR. MICHAEL KIDDER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Cityblock Medical Practice, P.a. 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.
Reviews for CITYBLOCK MEDICAL PRACTICE, P.A.
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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 | 5 | 8 | 8 | 2 | 9 | 6 | 7 | 8 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 16 | 8 | 4 | 9 | 12 | 7 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 6 + 8 + 4 + 9 + 1 + 2 + 7 + 1 + 6 + 24 = 76 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 76 = 4 | 4 | ||||||||
The NPI number 1588296784 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 5 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1487713947 | STEPHANIE T LENNON APRN Individual | Nurse Practitioner (Primary Care) | 2620 KESSLER BOULEVARD EAST DR STE 110 INDIANAPOLIS, IN 46220 (000) 000-0000 |
| 1598250797 | JAIME ALLISON BRISTOW NP Individual | Nurse Practitioner (Psychiatric/Mental Health) | 2620 KESSLER BOULEVARD EAST DR STE 110 INDIANAPOLIS, IN 46220 (800) 336-1100 |
| 1730956210 | ERICKA WITEK LCSW Individual | Social Worker (Clinical) | 2620 KESSLER BOULEVARD EAST DR STE 110 INDIANAPOLIS, IN 46220 (833) 904-2273 |
| 1649638388 | BIANCA OSAKWE Individual | Nurse Practitioner (Psychiatric/Mental Health) | 2620 KESSLER BOULEVARD EAST DR STE 110 INDIANAPOLIS, IN 46220 (800) 336-1100 |
| 1518774405 | SCOPE DX LLC Organization | Pathology (Anatomic Pathology & Clinical Pathology) | 2620 KESSLER BOULEVARD EAST DR STE 110 INDIANAPOLIS, IN 46220 (551) 804-3029 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1588296784, enumerated in the NPI registry as an "organization" on February 06, 2020
The provider is located at 2620 Kessler Boulevard East Dr Ste 110 Indianapolis, In 46220 and the phone number is (800) 336-1100
This medical organization specializes in Internal Medicine with taxonomy code 207R00000X
The provider's CLIA number is 34D2173083 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued 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..
This NPI record was last updated on February 06, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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