JULIE ELIZABETH STARK M.D.
NPI 1043576770
Pediatrics - Pediatric Critical Care Medicine in Indianapolis, IN

Q: What is Julie Stark's NPI number?

The NPI number for Julie Stark is 1043576770. It was assigned to this individual provider in the NPPES registry on April 6, 2012.

Q: What is Julie Stark's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Julie Stark was last updated on February 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 06, 2012PECOS EnrolledAccepts Medicare Assignment

705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202(317) 948-7128(317) 944-3442 Get Directions Write a Review

NPPES record last updated: February 7, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 7, 2026, Oct 15, 2020, Sep 28, 2020 and 1 more (4 updates tracked since 2020).

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About Julie Elizabeth Stark M.d. NPPES

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

JULIE ELIZABETH STARK M.D. (NPI 1043576770) is an individual pediatric critical care medicine provider in Indianapolis, Indiana, licensed in Ohio (01074837A) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Indiana University School Of Medicine (2012).

NPPES Registry Identity

NPI1043576770

Entity TypeIndividualFemale

Primary Taxonomy2080P0203X

Provider Legal NameJULIE ELIZABETH STARKCredential: M.D.

Location Address705 RILEY HOSPITAL DRIndianapolis, IN 46202-5109

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

Phone(317) 948-7128

Fax(317) 944-3442

Sole ProprietorNo

Medical School CMSIndiana University School Of MedicineGraduated 2012

Enumeration DateApril 6, 2012

Last NPPES UpdateFebruary 7, 20264 updates tracked since enumeration

NPPES CertifiedFebruary 7, 2026

✔ NPI 1043576770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in OH · 01074837A

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

Also ListedAnesthesiology · Critical Care MedicineTaxonomy 207LC0200X · License 01074837A (IN)

705 RILEY HOSPITAL DR, Indianapolis, IN 46202

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Secondary Practice Locations 2

Location 13601 The Vanderbilt ClinicNashville, TN 37232-3026 · Phone (615) 936-2000

Location 23333 Burnet Ave # Mlc2003Cincinnati, OH 45229-3026 · Phone (513) 636-4888 · Fax (513) 803-4493

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Julie Elizabeth Stark M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1951548353

PECOS Enrollment IDI20150625001402

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.

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)