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Deactivated NPI 1558329136 Deactivated / Inactive NPI Male Practitioner

Dr. Ward Elias Poulos , MD

Pediatrics • Indianapolis, IN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Ward Poulos has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 03, 2006
NPI Deactivation Date March 20, 2024
Total Practice Duration ~18 Years of Practice (2006 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Ward Poulos, MD was a registered Pediatrics practicing in Indianapolis, IN. Throughout an active medical career spanning 18 years, Dr. Poulos provided care at the practice location at 3850 SHORE DR until profile deactivation on 2024-03-20.

Practice Location & Contact Primary Location

Practice Address

3850 Shore Dr
#117 Eagle Medical Blvd

Indianapolis, IN 46254

Telephone 3172935437
Fax 3172935437
Associated Practice Facility / Clinic
🏢 Biddinger Medical Facility NPI 1700818598

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Indianapolis, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.4 Yrs
State Avg: 19.8 Yrs
Regional Practice Density
387 Specialists

Practicing in Indianapolis, IN (1179 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License IN 01023973A

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
Daphney Leverett , NP

Nurse Practitioner - Family

NPI 1346246691

Nurse Practitioner

Dr. James Noland , MD

Obstetrics & Gynecology

NPI 1386610913

Doctor of Medicine (M.D.)

NPI 1407805260

Doctor of Medicine (M.D.)

NPI 1730122268

Doctor of Osteopathic Medicine (D.O.)

Adebisi Ademakinwa

Nurse Practitioner - Psychiatric/Mental Health

NPI 1740025758
NPI 1811010648

Registered Pharmacist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 20, 2024

Record deactivated on March 20, 2024

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 3850 SHORE DR, #117 EAGLE MEDICAL BLVD, INDIANAPOLIS, IN 46254 (Tel: 3172935437)

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Updated Business Mailing Address July 08, 2007

Registered at 3850 SHORE DR, #117 EAGLE MEDICAL BLVD, INDIANAPOLIS, IN 46254 (Tel: 3172935437)

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Provider Name / Credentials Updated July 08, 2007

Recorded as WARD POULOS, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pediatrics (License #01023973A in IN)

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Initial NPI Registration & Enumeration May 03, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1558329136
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 03, 2006
Last Update: July 08, 2007
Deactivation Date: March 20, 2024

Mailing Address

3850 Shore Dr, #117 Eagle Medical Blvd

Indianapolis, IN 46254

Phone: 3172935437

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.