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

Charles Donald Elomba

Individual provider Family Nurse Practitioner · NPI 1669182663

Charles Donald Elomba is a Nurse Practitioner in Indianapolis, Indiana. Qualified in 2016, 10 years ago. Practices with St Vincent Medical Group Inc, a 727-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
10
Licensed in
IN
In the registry since
2022
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Practice location Address checks out

8333 Naab Rd Ste 200
Indianapolis, IN 46260-1973
Phone: (317) 338-4400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2001 W 86th St, Indianapolis, IN 46260-1902 — (317) 338-2345
  • 727 Moon Rd, Plainfield, IN 46168-8757 — (317) 909-7738

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 71013482A (IN)

Record details

NPI number1669182663
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 30, 2022
Last updated in NPPESJanuary 26, 2024
Certification dateJanuary 26, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice St Vincent Medical Group Inc — 727 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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