1. Home
  2. Directory
  3. Indiana
  4. Polis
  5. Dietitian Registered
  6. NPI Profile

KAREN LYNN GOUGH RDN
NPI 1174369615
Dietitian, Registered in Indianapolis, IN

Active since July 03, 2024
6940 MICHIGAN RD STE 140, INDIANAPOLIS, IN 46268(317) 266-2901 Get Directions Write a Review

NPPES record last updated: September 17, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 17, 2025, Aug 6, 2024, Jul 3, 2024 (3 updates tracked since 2024).

About Karen Lynn Gough Rdn NPPES

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

KAREN LYNN GOUGH RDN (NPI 1174369615) is an individual dietitian, registered in Indianapolis, Indiana, licensed in Indiana (858695) and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1174369615
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameKAREN LYNN GOUGHCredential: RDN
Location Address6940 MICHIGAN RD STE 140Indianapolis, IN 46268-2800
Mailing AddressPo Box 637764Cincinnati, OH 45263-7764 · (317) 880-3939
Phone(317) 266-2901
Sole ProprietorYes
Enumeration DateJuly 3, 2024
Last NPPES UpdateSeptember 17, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2025
✔ NPI 1174369615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in IN · 858695
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
6940 MICHIGAN RD STE 140, Indianapolis, IN 46268
Open in Google Maps ↗

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 (PECOS)

Karen Lynn Gough Rdn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

The Health And Hospital Corporation Of Marion County
Same address
Federally Qualified Health Center (FQHC)
6940 MICHIGAN RD STE 140
Indianapolis, IN 46268
  • Reassigned Medicare billing, Indiana enrollment
  • 564 clinicians in this Medicare group
NPI 1093054447 (317) 266-2901

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 11

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

DR. KIRSTEN FITZ DO
Internal Medicine
6940 MICHIGAN RD STE 140
INDIANAPOLIS, IN 46268
Marion County (317) 266-2901
THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY
Clinic/Center (Federally Qualified Health Center (FQHC))
6940 MICHIGAN RD STE 140
INDIANAPOLIS, IN 46268
Marion County (317) 266-2901
JUAN J CHANG M.D.
Family Medicine
6940 MICHIGAN RD STE 140
INDIANAPOLIS, IN 46268
Marion County (317) 266-2901
REGINA SHEA DALLA RIVA
Pediatrics
6940 MICHIGAN RD STE 140
INDIANAPOLIS, IN 46268
Marion County (317) 266-2901
MS. MICHELLE N ANSLEY NP
Nurse Practitioner
6940 MICHIGAN RD STE 140
INDIANAPOLIS, IN 46268
Marion County (317) 266-2901
RACHEL KATHLEEN GANTZ FINGERHUT NP
Nurse Practitioner (Family)
6940 MICHIGAN RD STE 140
INDIANAPOLIS, IN 46268
Marion County (317) 266-2901
REBECCA GABRIELLA SHOFNER
Family Medicine
6940 MICHIGAN RD STE 140
INDIANAPOLIS, IN 46268
Marion County (317) 266-2901
DAWN P HAUT MD
Pediatrics
6940 MICHIGAN RD STE 140
INDIANAPOLIS, IN 46268
Marion County (317) 266-2901

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 Gough's NPI number?

The NPI number for Karen Gough is 1174369615. It was assigned to this individual provider in the NPPES registry on July 3, 2024.

Where is Karen Gough located?

Karen Gough practices at 6940 Michigan Rd Ste 140, Indianapolis, IN 46268. The listed phone number is (317) 266-2901.

What is Karen Gough's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Karen Gough enrolled in Medicare?

Yes. Karen Gough is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Karen Gough's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karen Gough reassigns Medicare benefits to The Health And Hospital Corporation Of Marion County (Indianapolis, 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 Karen Gough's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karen Gough accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield list Karen Gough 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 Gough was last updated on September 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.