Provider Demographics
NPI:1326178971
Name:IMEL, ERIK ALLEN (MD)
Entity type:Individual
Prefix:
First Name:ERIK
Middle Name:ALLEN
Last Name:IMEL
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:550 N MERIDIAN ST
Mailing Address - Street 2:STE 114
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46204-1207
Mailing Address - Country:US
Mailing Address - Phone:317-274-3960
Mailing Address - Fax:317-274-5168
Practice Address - Street 1:550 UNIVERSITY BLVD
Practice Address - Street 2:STE 2180
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-5149
Practice Address - Country:US
Practice Address - Phone:317-944-7718
Practice Address - Fax:317-944-1289
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN01057842A207R00000X, 207RE0101X, 208000000X, 2080P0205X
IN010578422080P0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200858580Medicaid
IN000000527153OtherANTHEM PTAN
IN000000526927OtherANTHEM PTAN
IN264910BHHHMedicare PIN