DR. INDIRA P ANDHOLE MD
NPI 1184632747
Pediatrics in Depere, WI
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
Specialties & Licenses
Other Names 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Indira P Andhole Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Indira Andhole reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Sheboygan, WI 53081
- Reassigned Medicare billing, Wisconsin enrollment
- 4,609 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
DE PERE, WI 54115
DE PERE, WI 54115
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.
Which organization bills Medicare for Indira Andhole's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Indira Andhole reassigns Medicare benefits to Aurora Medical Group, Inc. (Sheboygan, WI). 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 Indira Andhole's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Indira Andhole accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Network Health and 2 other insurers 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 October 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.
# Dr. Indira P Andhole, MD · NPI 1184632747
Pediatrics physician in Depere, Wisconsin. Individual provider, active in the CMS NPPES registry since August 3, 2006.
## Identity
- **NPI:** 1184632747 (Entity type: Individual)
- **Enumerated:** August 3, 2006
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 40289 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 1881 CHICAGO ST, Depere, WI 54115
- **Phone:** (920) 403-8000 · **Fax:** (920) 403-8204
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Aurora Medical Group, Inc. (NPI 1174670244, Sheboygan, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 5, 2026
- **Other identifiers:** Medicaid 32593400 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1184632747) · Data from the CMS NPPES public registry.