CHARLES PHILLIP BLAIR VANDERPOOL MD
NPI 1033266820
Pediatrics - Pediatric Gastroenterology in Indianapolis, IN

Q: What is Charles Vanderpool's NPI number?

The NPI number for Charles Vanderpool is 1033266820. It was assigned to this individual provider in the NPPES registry on January 4, 2007.

Q: What is Charles Vanderpool's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Active since January 04, 2007PECOS Enrolled

705 RILEY HOSPITAL DR, ROC 4210, INDIANAPOLIS, IN 46202(317) 944-3774(317) 944-8521 Get Directions Write a Review

NPPES record last updated: February 6, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 6, 2026, Nov 23, 2020 (2 updates tracked since 2020).

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About Charles Phillip Blair Vanderpool Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES PHILLIP BLAIR VANDERPOOL MD (NPI 1033266820) is an individual pediatric gastroenterology provider in Indianapolis, Indiana, licensed in Indiana (01069261A) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033266820

Entity TypeIndividualMale

Primary Taxonomy2080P0206X

Provider Legal NameCHARLES PHILLIP BLAIR VANDERPOOLCredential: MD

Location Address705 RILEY HOSPITAL DR, ROC 4210Indianapolis, IN 46202-5109

Mailing AddressPo Box 719094Chicago, IL 60677-9318 · (317) 777-6435 · Fax (317) 777-6644

Phone(317) 944-3774

Fax(317) 944-8521

Sole ProprietorNo

Enumeration DateJanuary 4, 2007

Last NPPES UpdateFebruary 6, 20262 updates tracked since enumeration

NPPES CertifiedFebruary 6, 2026

✔ NPI 1033266820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0206X

License✔ Licensed in IN · 01069261A

Definition

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.

705 RILEY HOSPITAL DR, Indianapolis, IN 46202

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Other Identifiers 1

Medicaid201020420IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles Phillip Blair Vanderpool Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Charles Vanderpool reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Pediatric Associates, Inc.

Same address

Pediatrics

705 RILEY HOSPITAL DR, RR 127
Indianapolis, IN 46202

Reassigned Medicare billing, Indiana enrollment
294 clinicians in this Medicare group

NPI 1457396541 (317) 777-6435

Iu Health Medical Group Riley Specialists, LLC

Same address

Pediatrics

705 RILEY HOSPITAL DR
Indianapolis, IN 46202

Reassigned Medicare billing, Indiana enrollment
523 clinicians in this Medicare group

NPI 1699561480 (317) 944-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$122.49 typical visit price

range $53.07 – $161.76

Typical copayment $30.62 (range $13.26 – $40.44)

Most-billed visit code 99204

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MOHANNAD MOALLEM M.D.

Pediatrics (Neonatal-Perinatal Medicine)