DR. STACEY ISHMAN M.D. - NPI 1245287101 - Otolaryngology in Indianapolis, IN

Q: What is Stacey Ishman's NPI number?

The NPI number for Stacey Ishman is 1245287101. It was assigned to this individual provider in the NPPES registry on May 27, 2006.

Q: What is Stacey Ishman's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Pediatric Otolaryngology, with taxonomy code 207YP0228X.

Q: When was this NPI record last updated?

The NPPES record for Stacey Ishman was last updated on April 9, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Stacey Ishman M.d. NPPES

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

DR. STACEY ISHMAN M.D. (NPI 1245287101) is an individual pediatric otolaryngology provider in Indianapolis, Indiana, licensed in Indiana (01088233A) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Madison.

NPPES Registry Identity

NPI1245287101

Entity TypeIndividualFemale

Primary Taxonomy207YP0228X

Provider Legal NameDR. STACEY ISHMANCredential: M.D.

Location Address8402 HARCOURT RD STE 400Indianapolis, IN 46260-2053

Mailing AddressPo Box 933432Cleveland, OH 44193-0039 · (937) 641-5072 · Fax (937) 641-6129

Phone(317) 338-6815

Sole ProprietorNo

Enumeration DateMay 27, 2006

Last NPPES UpdateApril 9, 20266 updates tracked since enumeration

NPPES CertifiedApril 9, 2026

✔ NPI 1245287101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngology · Pediatric OtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207YP0228X

Licenses✔ Licensed in IN · 01088233A✔ Licensed in OH · 35.121930

Definition

A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing.

Also ListedOtolaryngology · Sleep MedicineTaxonomy 207YS0012X · License 35.121930 (OH)

8402 HARCOURT RD STE 400, Indianapolis, IN 46260

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Secondary Practice Location 1

Location 11675 Highland AveMadison, WI 53792-3026 · Phone (608) 263-6420

Other Identifiers 1

Medicaid0091250OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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. Stacey Ishman M.d. 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.

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.

LORAINE RUTH CONDREY APRN

Nurse Practitioner (Pediatrics)