STEVEN JACOB CARLSON DO
NPI 1053179523
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Q: What is Steven Carlson's NPI number?

The NPI number for Steven Carlson is 1053179523. It was assigned to this individual provider in the NPPES registry on March 11, 2024.

Q: What is Steven Carlson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Steven Carlson was last updated on May 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 March 11, 2024PECOS Enrolled

1701 N SENATE AVE RM AG012, INDIANAPOLIS, IN 46202(317) 962-5975 Get Directions Write a Review

NPPES record last updated: May 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Steven Jacob Carlson Do NPPES

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

STEVEN JACOB CARLSON DO (NPI 1053179523) is an individual student in an organized health care education/training program in Indianapolis, Indiana and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053179523

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameSTEVEN JACOB CARLSONCredential: DO

Location Address1701 N SENATE AVE RM AG012Indianapolis, IN 46202-5306

Mailing Address1701 N Senate Ave Rm Ag012Indianapolis, IN 46202-5306 · (317) 962-5975

Phone(317) 962-5975

Sole ProprietorNo

Enumeration DateMarch 11, 2024

Last NPPES UpdateMay 5, 2025

NPPES CertifiedMay 5, 2025

✔ NPI 1053179523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1701 N SENATE AVE RM AG012, Indianapolis, IN 46202

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Steven Jacob Carlson Do 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.

Other Providers at the Same Location NPPES 14

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

DANIELLE ALEXIS KOWAL DO

Student in an Organized Health Care Education/Training Program