{"npi":"1275948127","type":"NPI-1","status":"active","name":{"display":"Andres Acosta MD","other":[],"first":"ANDRES","last":"ACOSTA","middle":"MARTIN","credential":"MD"},"specialty":{"primary_taxonomy":"207ZP0101X","primary_taxonomy_description":"Anatomic Pathology Physician","slug":"anatomic-pathology-physician","schema_org_specialty":null,"all":[{"code":"207ZC0006X","description":"Clinical Pathology Physician","primary":false,"state":"MA","license":"273737"},{"code":"208D00000X","description":"General Practice","primary":false,"state":"ZZ","license":"33128-1"},{"code":"207ZP0101X","description":"Anatomic Pathology Physician","primary":true,"state":"IN","license":"01088583A"}]},"addresses":[{"purpose":"LOCATION","street_1":"350 W 11TH ST","city":"INDIANAPOLIS","state":"IN","postal_code":"462024108","country_code":"US","phone":"3174916000","fax":"3174916534"},{"purpose":"MAILING","street_1":"250 N SHADELAND AVE","city":"INDIANAPOLIS","state":"IN","postal_code":"462194959","country_code":"US"}],"license":{"state":"IN","number":"01088583A"},"identifiers":[{"type_code":"01","label":"Other","value":"1275948127","state":"IN","issuer":"ANTHEM PTAN"},{"type_code":"05","label":"Medicaid","value":"300069964","state":"IN","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20230105002823","type_code":"14-22","type_desc":"PRACTITIONER - PATHOLOGY","state":"IN","pac_id":"1759690910"}]},"enumeration_date":"2014-06-29","last_updated":"2025-05-05","_meta":{"source":"NPPES","snapshot_date":"2025-05-05","doc_url":"https://findmynpi.com/api"}}