Icem-Wishard LLC
NPI 1629304134 · Emergency Medicine Physician · Indianapolis, IN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Icem-Wishard LLC is a Emergency Medicine Physician organization in Indianapolis, IN (NPI 1629304134).
Provider details
- NPI number
- 1629304134
- Entity type
- Organization
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lisa Braun, Administrator(317) 630-7276
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-10-19
- Last updated
- 2009-10-19
Frequently asked questions
- What is Icem-Wishard LLC's NPI number?
- Icem-Wishard LLC's National Provider Identifier (NPI) is 1629304134, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Icem-Wishard LLC?
- Icem-Wishard LLC is classified in the NPPES registry as Emergency Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Icem-Wishard LLC located?
- Icem-Wishard LLC's practice location on file with NPPES is 1001 W 10th St, Indianapolis, IN 46202-2859.
- What is Icem-Wishard LLC's phone number?
- The practice phone number listed in the NPPES registry for Icem-Wishard LLC is (317) 630-7276.
- Does Icem-Wishard LLC accept Medicare?
- Icem-Wishard LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Icem-Wishard LLC?
- The authorized official listed on Icem-Wishard LLC's NPPES record is Lisa Braun, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Icem-Wishard LLC's NPI active?
- Yes — Icem-Wishard LLC's NPI (1629304134) is active in the NPPES registry as of the last update on 2009-10-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.