KAREN M WHEELER M.D.
NPI 1073559290
Pediatrics in Zionsville, IN
About Karen M Wheeler M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KAREN M WHEELER M.D. (NPI 1073559290) is an individual pediatrics provider in Zionsville, Indiana, licensed in Indiana (01040419) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Karen M Wheeler M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Karen Wheeler reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Indianapolis, IN 46202
- Reassigned Medicare billing, Indiana enrollment
- 1,781 clinicians in this Medicare group
Indianapolis, IN 46202
- Reassigned Medicare billing, Indiana enrollment
- 5,212 clinicians in this Medicare group
Indianapolis, IN 46202
- Reassigned Medicare billing, Indiana enrollment
- 737 clinicians in this Medicare group
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 46077 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ZIONSVILLE, IN 46077
ZIONSVILLE, IN 46077
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 Karen Wheeler's NPI number?
The NPI number for Karen Wheeler is 1073559290. It was assigned to this individual provider in the NPPES registry on June 22, 2006.
Where is Karen Wheeler located?
Karen Wheeler practices at 1650 W Oak St Ste 210, Zionsville, IN 46077. The listed phone number is (317) 873-8855.
What is Karen Wheeler's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Karen Wheeler enrolled in Medicare?
Yes. Karen Wheeler is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Karen Wheeler's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Karen Wheeler reassigns Medicare benefits to 3 organizations: Indiana University Health Care Associates, Inc. (Indianapolis, IN), Iu Health Medical Group, LLC (Indianapolis, IN) and University Family Physicians, Inc. (Indianapolis, IN). Each 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 Karen Wheeler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Karen Wheeler accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Karen Wheeler 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 Karen Wheeler was last updated on November 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Karen M Wheeler, M.D. · NPI 1073559290
Pediatrics physician in Zionsville, Indiana. Individual provider, active in the CMS NPPES registry since June 22, 2006.
## Identity
- **NPI:** 1073559290 (Entity type: Individual)
- **Enumerated:** June 22, 2006
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 01040419 (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 1650 W OAK ST, STE 210, Zionsville, IN 46077-3835
- **Phone:** (317) 873-8855 · **Fax:** (317) 873-8853
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Indiana University Health Care Associates, Inc. (NPI 1679949002, Indianapolis, IN); Iu Health Medical Group, LLC (NPI 1326893777, Indianapolis, IN); University Family Physicians, Inc. (NPI 1043275787, Indianapolis, IN) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 25, 2020
- **Other identifiers:** Medicaid 10063940 (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1073559290) · Data from the CMS NPPES public registry.