# COMMUNITY PHYSICIANS OF INDIANA INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619105244
- **Authorized official:** JOHN KUNZER MD (EVP)
- **Authorized official phone:** (317) 355-5961

## Contact information

- **Practice address:** 7240 SHADELAND STATION, SUITE 300, INDIANAPOLIS, IN 46256-3944
- **Practice address phone:** (317) 355-5555
- **Mailing address:** 7240 SHADELAND STA STE 300, INDIANAPOLIS, IN 46256-3944
- **Mailing address phone:** (317) 355-5555
- **Mailing address fax:** (317) 355-8716

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | — |
| 208D00000X | General Practice Physician | — | — | — |

## Other

- **Enumeration date:** 06/22/2009
- **Last updated:** 04/24/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000647913 | ANTHEM | IN |
| 05 | — | 200969250A | — | IN |
| 05 | — | 200969250B | — | IN |
| 05 | — | 200969250C | — | IN |
| 05 | — | 200969250D | — | IN |
| 05 | — | 200969250E | — | IN |
| 05 | — | 200969250F | — | IN |
| 05 | — | 200969250G | — | IN |
| 05 | — | 200969250H | — | IN |
| 05 | — | 200969250I | — | IN |
| 05 | — | 200969250J | — | IN |
| 05 | — | 200969250K | — | IN |
| 05 | — | 200969250L | — | IN |
| 05 | — | 200969250M | — | IN |
| 05 | — | 201006200O | — | IN |
| 05 | — | 201014430T | — | IN |
| 05 | — | 201018890G | — | IN |