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ETHAN WARNER PULLIAM
NPI 1134935711
Anesthesiology in Indianapolis, IN

Active since December 09, 2024PECOS Enrolled
2001 W 86TH ST, INDIANAPOLIS, IN 46260(317) 800-4940 Get Directions Write a Review

NPPES record last updated: June 6, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jun 6, 2026, Dec 9, 2024 (2 updates tracked since 2024).

About Ethan Warner Pulliam NPPES

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

ETHAN WARNER PULLIAM (NPI 1134935711) is an individual anesthesiology provider in Indianapolis, Indiana, licensed in Indiana (11024925A) and active in the NPI registry since December 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134935711
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameETHAN WARNER PULLIAM
Location Address2001 W 86TH STIndianapolis, IN 46260-1902
Mailing Address340 W 10th StIndianapolis, IN 46202-3082
Phone(317) 800-4940
Sole ProprietorNo
Enumeration DateDecember 9, 2024
Last NPPES UpdateJune 6, 20262 updates tracked since enumeration
NPPES CertifiedJune 6, 2026
✔ NPI 1134935711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in IN · 11024925A
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
2001 W 86TH ST, Indianapolis, IN 46260
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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)

Ethan Warner Pulliam 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 20

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

AMBER SEAMAN
Physician Assistant
2001 W 86TH ST
INDIANAPOLIS, IN 46260
Marion County (317) 338-2345
LILY SNYDER
Pharmacist
2001 W 86TH ST
INDIANAPOLIS, IN 46260
Marion County (317) 415-8111
JANE GUNSENHOUSER MD
Anesthesiology
2001 W 86TH ST
INDIANAPOLIS, IN 46260
Marion County (317) 567-2180
GREGORY BAUWENS MD
Emergency Medicine
2001 W 86TH ST
INDIANAPOLIS, IN 46260
Marion County (317) 802-3140
DR. JENNIFER RAE BARKER M.D.
Emergency Medicine
2001 W 86TH ST
INDIANAPOLIS, IN 46260
Marion County (317) 338-2121
ST. VINCENT
General Acute Care Hospital
2001 W 86TH ST
INDIANAPOLIS, IN 46260
Marion County (317) 338-2281
ST. VINCENT HOSPITAL
Student in an Organized Health Care Education/Training Program
2001 W 86TH ST
INDIANAPOLIS, IN 46260
Marion County (317) 338-2281
BROOKE KATHERINE GREENE MD
Pediatrics
2001 W 86TH ST
INDIANAPOLIS, IN 46260
Marion County (317) 338-6815

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 Ethan Pulliam's NPI number?

The NPI number for Ethan Pulliam is 1134935711. It was assigned to this individual provider in the NPPES registry on December 9, 2024.

Where is Ethan Pulliam located?

Ethan Pulliam practices at 2001 W 86th St, Indianapolis, IN 46260. The listed phone number is (317) 800-4940.

What is Ethan Pulliam's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Ethan Pulliam enrolled in Medicare?

Yes. Ethan Pulliam is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ethan Pulliam was last updated on June 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.