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DR. INDIRA P ANDHOLE MD
NPI 1184632747
Pediatrics in Depere, WI

Active since August 03, 2006PECOS Enrolled
1881 CHICAGO ST, DEPERE, WI 54115(920) 403-8000(920) 403-8204 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 7, 2023, Nov 19, 2021 (2 updates tracked since 2021).

About Dr. Indira P Andhole Md NPPES

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

DR. INDIRA P ANDHOLE MD (NPI 1184632747) is an individual pediatrics provider in Depere, Wisconsin, licensed in Wisconsin (40289) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184632747
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. INDIRA P ANDHOLECredential: MD
Location Address1881 CHICAGO STDepere, WI 54115
Mailing Address3301 W Forest Home AveMilwaukee, WI 53215-2843 · (414) 647-6326
Phone(920) 403-8000
Fax(920) 403-8204
Sole ProprietorNo
Enumeration DateAugust 3, 2006
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
NPPES CertifiedNovember 19, 2021
✔ NPI 1184632747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in WI · 40289
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1881 CHICAGO ST, Depere, WI 54115
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Other Names 1

Doing Business As (3)Indira P Yennuralingam

Other Identifiers 1

Medicaid32593400WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.Insurance ›

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. Indira P Andhole 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 54115 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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 20

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

MANISHA CHATURVEDI MD
Family Medicine
1881 CHICAGO ST
DE PERE, WI 54115
Brown County (920) 403-8000
DR. JESUSA S ANDRES-PALINES MD
Internal Medicine
1881 CHICAGO ST
DEPERE, WI 54115
Brown County (920) 403-8000
DR. ABHILASH R VAISHNAV MD
Internal Medicine (Allergy & Immunology)
1881 CHICAGO ST
DE PERE, WI 54115
Brown County (920) 403-8000
DR. JENNIFER L HOYER MD
Pediatrics
1881 CHICAGO ST
DEPERE, WI 54115
Brown County (920) 403-8000
YOLOXOCHITL DIAZ MD
Pediatrics
1881 CHICAGO ST
DE PERE, WI 54115
Brown County (920) 403-8000
DR. RONALD E ROUP MD
Pediatrics
1881 CHICAGO ST
DEPERE, WI 54115
Brown County (920) 403-8000
AURORA PHARMACY INC
Pharmacy
1881 CHICAGO ST
DE PERE, WI 54115
Brown County (920) 403-8050
AURORA MEDICAL GROUP, INC.
Durable Medical Equipment & Medical Supplies
1881 CHICAGO ST
DE PERE, WI 54115
Brown County (920) 403-8000

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 Indira Andhole's NPI number?

The NPI number for Indira Andhole is 1184632747. It was assigned to this individual provider in the NPPES registry on August 3, 2006. The provider is also known as Indira P Yennuralingam.

Where is Indira Andhole located?

Indira Andhole practices at 1881 Chicago St, Depere, WI 54115. The listed phone number is (920) 403-8000.

What is Indira Andhole's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Indira Andhole enrolled in Medicare?

Yes. Indira Andhole is registered in the Medicare PECOS enrollment system.

What insurance does Indira Andhole accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Quartz and 1 other insurer list Indira Andhole 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 Indira Andhole was last updated on March 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.