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

Q: 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.

Q: What is Karen Gough's specialty?

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

Q: 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 11 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.

Active since July 03, 2024Accepts Medicare Assignment

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: August 16, 2026.

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

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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. She is a graduate of Other (1997).

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

Medical School CMSOtherGraduated 1997

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

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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 and accepts Medicare assignment

Karen Lynn Gough Rdn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2668919200

PECOS Enrollment IDI20240801000281

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46268 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

$0.00 typical visit price

range $53.07 – $161.76

Typical copayment $0.00 (range $13.26 – $40.44)

Most-billed visit code NA

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.

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