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DALE E. THEOBALD M.D., PH.D.
NPI 1053383083
Psychiatry & Neurology - Addiction Psychiatry in Indianapolis, IN

Active since February 03, 2006PECOS EnrolledAccepts Medicare Assignment
7229 CLEARVISTA DR, INDIANAPOLIS, IN 46256(317) 621-4341(317) 621-4366 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 8, 2020, Apr 17, 2017 (2 updates tracked since 2017).

About Dale E. Theobald M.d., Ph.d. NPPES

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

DALE E. THEOBALD M.D., PH.D. (NPI 1053383083) is an individual addiction psychiatry provider in Indianapolis, Indiana, licensed in Indiana (200110234A) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and is a graduate of Indiana University School Of Medicine (1983).

NPPES Registry Identity

NPI1053383083
Entity TypeIndividualMale
Primary Taxonomy2084P0802X
Provider Legal NameDALE E. THEOBALDCredential: M.D., PH.D.
Location Address7229 CLEARVISTA DRIndianapolis, IN 46256-1698
Mailing Address6626 E 75th St, Suite 500Indianapolis, IN 46250-2805
Phone(317) 621-4341
Fax(317) 621-4366
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 1983
Enumeration DateFebruary 3, 2006
Last NPPES UpdateNovember 27, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2020
✔ NPI 1053383083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Addiction PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0802X
License✔ Licensed in IN · 200110234A
Definition
Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders.
7229 CLEARVISTA DR, Indianapolis, IN 46256
Open in Google Maps ↗

Other Identifiers 2

Other000000538641IN · Anthem
Medicaid100134220IN

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 and accepts Medicare assignment

Dale E. Theobald M.d., Ph.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 ID2961596598
PECOS Enrollment IDI20071117000109
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 Reassignment

Medicare enrollment records show Dale Theobald reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Klarity P.C.
18 mi
General Practice
549 E COUNTY LINE RD STE E
Greenwood, IN 46143
  • Reassigned Medicare billing, Indiana enrollment
  • Medicare enrollment name: Klarity PC
  • 10 clinicians in this Medicare group
NPI 1194367755 (317) 777-1034

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

Other Providers at the Same Location NPPES 13

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

JIANAN GRAYBILL MD
Radiology (Radiation Oncology)
7229 CLEARVISTA DR
INDIANAPOLIS, IN 46256
Marion County (317) 621-5656
DONNA L. BUTLER ANP
Nurse Practitioner
7229 CLEARVISTA DR
INDIANAPOLIS, IN 46256
Marion County (317) 621-4341
DANIEL WILLIAM WEED MD
Radiology (Radiation Oncology)
7229 CLEARVISTA DR
INDIANAPOLIS, IN 46256
Marion County (317) 621-4300
COMMUNITY HOSPITALS ONCOLOGY PHYSICIANS LLC
Internal Medicine (Hematology & Oncology)
7229 CLEARVISTA DR
INDIANAPOLIS, IN 46256
Marion County (317) 621-4300
MARY ANN CRAWFORD NP
Nurse Practitioner (Adult Health)
7229 CLEARVISTA DR
INDIANAPOLIS, IN 46256
Marion County (317) 621-4300
CANCER CARE GROUP, P.C.
Radiology (Radiation Oncology)
7229 CLEARVISTA DR
INDIANAPOLIS, IN 46256
Marion County (317) 621-5656
SHIVAJI R GUNALE M.D.
Internal Medicine (Hematology & Oncology)
7229 CLEARVISTA DR
INDIANAPOLIS, IN 46256
Marion County (317) 621-4300
DARREL LAWRENCE ROSS MD
Radiology (Radiation Oncology)
7229 CLEARVISTA DR
INDIANAPOLIS, IN 46256
Marion County (317) 621-4300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dale Theobald's NPI number?

The NPI number for Dale Theobald is 1053383083. It was assigned to this individual provider in the NPPES registry on February 3, 2006.

Where is Dale Theobald located?

Dale Theobald practices at 7229 Clearvista Dr, Indianapolis, IN 46256. The listed phone number is (317) 621-4341.

What is Dale Theobald's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Addiction Psychiatry, with taxonomy code 2084P0802X.

Is Dale Theobald enrolled in Medicare?

Yes. Dale Theobald is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Dale Theobald's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dale Theobald reassigns Medicare benefits to Klarity P.C. (Greenwood, IN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dale Theobald's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dale Theobald accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Cigna Healthcare and 1 other insurer list Dale Theobald as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dale Theobald was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.