Provider Demographics
NPI:1356325187
Name:MENEGHINI, ROBERT M (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:M
Last Name:MENEGHINI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:950 N MERIDIAN ST
Mailing Address - Street 2:STE 500
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46204-3908
Mailing Address - Country:US
Mailing Address - Phone:317-962-4944
Mailing Address - Fax:317-962-4950
Practice Address - Street 1:200 W 103RD ST
Practice Address - Street 2:STE 1400
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46290-1018
Practice Address - Country:US
Practice Address - Phone:317-688-5980
Practice Address - Fax:317-566-2736
Is Sole Proprietor?:No
Enumeration Date:2005-12-05
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN01059735A207X00000X
IN01059735207XS0114X
CT046288207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN2555480OtherUHC
INP01002398OtherRAILROAD MEDICARE PTAN
INM400021360OtherMEDICARE PTAN
IN200985760Medicaid
IN000000373182OtherBCBS
IN7262751OtherAETNA
IN2555480OtherUHC
IN17710MMedicare PIN