Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

International Medical Surgical Center, LLC

Organization Family Medicine Physician · NPI 1417641606

International Medical Surgical Center, LLC is a Family Medicine Physician in Indianapolis, Indiana. Works from 2 locations. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6925 E 96th St Ste 200
Indianapolis, IN 46250-3654
Phone: (317) 489-3265
Fax: (317) 489-3714
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 39 N Us Highway 31, Whiteland, IN 46184-1545 — (317) 759-9327

Specialties & licences

Gynecology Physician (primary) Taxonomy 207VG0400X
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1417641606
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Josue Villalta — President · (317) 489-3265
NPI enumeratedJune 8, 2023
Last updated in NPPESApril 4, 2025
Certification dateApril 1, 2025
Mailing address6925 E 96th St Ste 200, Indianapolis, IN 46250-3654

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