Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DYLAN BROKAW MD
NPI 1194288092
Surgery in Fishers, IN

Q: What is Dylan Brokaw's NPI number?

The NPI number for Dylan Brokaw is 1194288092. It was assigned to this individual provider in the NPPES registry on April 9, 2019.

Q: What is Dylan Brokaw's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Dylan Brokaw was last updated on September 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.

Active since April 09, 2019PECOS Enrolled

13000 E 136TH ST STE C1300, FISHERS, IN 46037(317) 678-4663 Get Directions Write a Review

NPPES record last updated: September 3, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 3, 2026, Apr 9, 2019 (2 updates tracked since 2019).

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About Dylan Brokaw Md NPPES

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

DYLAN BROKAW MD (NPI 1194288092) is an individual surgery provider in Fishers, Indiana, licensed in Indiana (01095744A) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Philadelphia, and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (2019).

NPPES Registry Identity

NPI1194288092

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameDYLAN BROKAWCredential: MD

Location Address13000 E 136TH ST STE C1300Fishers, IN 46037-9478

Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959

Phone(317) 678-4663

Sole ProprietorNo

Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 2019

Enumeration DateApril 9, 2019

Last NPPES UpdateSeptember 3, 20262 updates tracked since enumeration

NPPES CertifiedSeptember 3, 2026

✔ NPI 1194288092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Licenses✔ Licensed in IN · 01095744A✔ Licensed in PA · MD489492

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

13000 E 136TH ST STE C1300, Fishers, IN 46037

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Secondary Practice Location 1

Location 1333 Cottman AvePhiladelphia, PA 19111-2434 · Phone (888) 369-2427

Other Identifiers 1

Medicaid300135621IN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dylan Brokaw Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4688909377

PECOS Enrollment IDI20260714002107

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 46037 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

Most-billed visit code 99213

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

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 Dylan Brokaw's NPI number?

The NPI number for Dylan Brokaw is 1194288092. It was assigned to this individual provider in the NPPES registry on April 9, 2019.

Where is Dylan Brokaw located?

Dylan Brokaw practices at 13000 E 136th St Ste C1300, Fishers, IN 46037. The listed phone number is (317) 678-4663.

What is Dylan Brokaw's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Dylan Brokaw enrolled in Medicare?

Yes. Dylan Brokaw is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dylan Brokaw was last updated on September 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.