Provider Demographics
NPI:1881764520
Name:LEMME, KARI A (MD)
Entity type:Individual
Prefix:
First Name:KARI
Middle Name:A
Last Name:LEMME
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:KARI
Other - Middle Name:
Other - Last Name:HENDRICKSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:250 N SHADELAND AVE
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46219-4959
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:705 RILEY HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-5109
Practice Address - Country:US
Practice Address - Phone:317-944-3936
Practice Address - Fax:317-948-5844
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01054893207P00000X
IN01054893A208000000X, 2080P0204X, 207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080P0204XAllopathic & Osteopathic PhysiciansPediatricsPediatric Emergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000820786OtherANTHEM PTAN
IN000001438093OtherANTHEM PTAN
IN200523300Medicaid
IN000000820626OtherANTHEM PTAN
I33738Medicare UPIN
IN264430102Medicare PIN