DR. AUDRA MARIE ST JOHN MD
NPI 1144859950
Pediatrics - Pediatric Gastroenterology in Indianapolis, IN

Q: What is Audra St John's NPI number?

The NPI number for Audra St John is 1144859950. It was assigned to this individual provider in the NPPES registry on April 3, 2020. The provider is also known as Audra Marie Rougraff MD.

Q: What is Audra St John's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Q: When was this NPI record last updated?

The NPPES record for Audra St John was last updated on May 7, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 03, 2020PECOS Enrolled

575 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202(317) 944-3774(317) 944-8521 Get Directions Write a Review

NPPES record last updated: May 7, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 7, 2026, Aug 9, 2021, Apr 8, 2020 and 1 more (4 updates tracked since 2020).

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About Dr. Audra Marie St John Md NPPES

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

DR. AUDRA MARIE ST JOHN MD (NPI 1144859950) is an individual pediatric gastroenterology provider in Indianapolis, Indiana, licensed in Indiana (01089400A) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144859950

Entity TypeIndividualFemale

Primary Taxonomy2080P0206X

Provider Legal NameDR. AUDRA MARIE ST JOHNCredential: MD

Location Address575 RILEY HOSPITAL DRIndianapolis, IN 46202-5272

Mailing AddressPo Box 719094Chicago, IL 60677-9318 · (317) 777-6435 · Fax (317) 777-6644

Phone(317) 944-3774

Fax(317) 944-8521

Sole ProprietorNo

Enumeration DateApril 3, 2020

Last NPPES UpdateMay 7, 20264 updates tracked since enumeration

NPPES CertifiedMay 7, 2026

✔ NPI 1144859950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0206X

License✔ Licensed in IN · 01089400A

Definition

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.

575 RILEY HOSPITAL DR, Indianapolis, IN 46202

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Other Names 1

Former Name (1)Audra Marie Rougraff Md

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Audra Marie St John Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$122.49 typical visit price

range $53.07 – $161.76

Typical copayment $30.62 (range $13.26 – $40.44)

Most-billed visit code 99204

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 19

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

ALANA GRAY PA-C

Physician Assistant (Surgical)