Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Impact Physician Group, Indiana, Pulmonary Services LLC

Organization Pulmonary Disease Physician · NPI 1083184873

Impact Physician Group, Indiana, Pulmonary Services LLC provides Pulmonary Disease Physician services in Indianapolis, Indiana. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1700 W 10th St
Indianapolis, IN 46222-3802
Phone: (317) 636-4400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X

Record details

NPI number1083184873
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul Miller — Ceo · (678) 967-5599
NPI enumeratedDecember 5, 2018
Last updated in NPPESDecember 19, 2022
Certification dateDecember 19, 2022
Mailing address21 Eastbrook Bnd Ste 218, Peachtree City, GA 30269-1546

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