Provider Demographics
NPI:1972586568
Name:BELAMKAR, VINAYAK C (MD)
Entity type:Individual
Prefix:
First Name:VINAYAK
Middle Name:C
Last Name:BELAMKAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4000 W 106TH ST STE 125-153
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-7720
Mailing Address - Country:US
Mailing Address - Phone:317-431-6012
Mailing Address - Fax:317-344-0106
Practice Address - Street 1:3500 DEPAUW BLVD STE 2082
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46268-1137
Practice Address - Country:US
Practice Address - Phone:317-536-4040
Practice Address - Fax:317-536-4222
Is Sole Proprietor?:No
Enumeration Date:2005-11-28
Last Update Date:2021-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01049475A207L00000X, 207LP2900X, 207R00000X, 208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200413300Medicaid
IN200413300Medicaid
IN000000632767OtherANTHEM PROVIDER NUMBER
IN000000636040OtherANTHEM-IU PAIN
INH23690Medicare UPIN
IN815500V4Medicare PIN
IN940550B6Medicare PIN
IN248920F-IUAA PAINMedicare PIN