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DR. REBECCA JANE ANDERSON D.O.
NPI 1063628121
General Practice in Indianapolis, IN

Active since May 15, 2007Opted out of Medicare · through Feb 26, 2027
5610 CRAWFORDSVILLE RD STE 103, INDIANAPOLIS, IN 46224(317) 247-0119(317) 247-0614 Get Directions Write a Review

NPPES record last updated: January 23, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Rebecca Jane Anderson D.o. NPPES

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

DR. REBECCA JANE ANDERSON D.O. (NPI 1063628121) is an individual general practice provider in Indianapolis, Indiana, licensed in Indiana (02000810) and active in the NPI registry since May 2007. She has opted out of Medicare through February 26, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1063628121
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameDR. REBECCA JANE ANDERSONCredential: D.O.
Location Address5610 CRAWFORDSVILLE RD STE 103Indianapolis, IN 46224-3714
Mailing Address5610 Crawfordsville Rd Ste 103Indianapolis, IN 46224-3714 · (317) 247-0119 · Fax (317) 247-0614
Phone(317) 247-0119
Fax(317) 247-0614
Sole ProprietorNo
Enumeration DateMay 15, 2007
Last NPPES UpdateJanuary 23, 2019
✔ NPI 1063628121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in IN · 02000810
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

5610 CRAWFORDSVILLE RD STE 103, Indianapolis, IN 46224
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Rebecca Jane Anderson D.o. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 26, 2019 through February 26, 2027.

Opt-Out Effective DateFebruary 26, 2019
Opt-Out In Effect ThroughFebruary 26, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Rebecca Anderson's NPI number?

The NPI number for Rebecca Anderson is 1063628121. It was assigned to this individual provider in the NPPES registry on May 15, 2007.

Where is Rebecca Anderson located?

Rebecca Anderson practices at 5610 Crawfordsville Rd Ste 103, Indianapolis, IN 46224. The listed phone number is (317) 247-0119.

What is Rebecca Anderson's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Rebecca Anderson enrolled in Medicare?

No. Rebecca Anderson has opted out of Medicare through February 26, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Rebecca Anderson was last updated on January 23, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.