NPI 1255794871 · live from the CMS NPI Registry
Mauro Amendola, M.D.
Family Medicine in Greenwood, IN. National Provider Identifier 1255794871, active.
NPI record
| NPI | 1255794871 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 3000 S State Road 135 Ste 310, Greenwood, IN 46143 |
| Practice phone | 317-497-2400 |
| Mailing address | 6626 E 75th St Ste 500, Indianapolis, IN 46250 |
| Enumerated | March 31, 2016 |
| Last updated | September 15, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine | 207Q00000X | 35.138734 (OH) |
| Family Medicine primary | 207Q00000X | 01096178A (IN) |
| Family Medicine | 207Q00000X | 31446 (MS) |
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Family Medicine | 207Q00000X | 66230 (TN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.