Individual
RONALD L. GEMMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1011 MAIN ST STE 110, INDIANAPOLIS, IN 46224-6978
(317) 957-9150
(317) 957-9965
Mailing address
6626 E 75TH ST, STE 500, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02000649B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000084479
ANTHEM
IN
01
—
000000668488
ANTHEM
IN
05
—
201024840
—
IN
01
—
P01424314
RAIL ROAD PTAN
IN
Enumeration date
01/19/2007
Last updated
10/14/2025
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