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

Active since May 27, 2006PECOS Enrolled
8402 HARCOURT RD STE 400, INDIANAPOLIS, IN 46260(317) 338-6815 Get Directions Write a Review

NPPES record last updated: April 9, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 9, 2026, Aug 6, 2025, Aug 20, 2024 and 3 more (6 updates tracked since 2022).

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Stacey Ishman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

St Vincent Pediatric Subspecialties
0.1 mi
Pediatrics
2001 W 86TH ST
Indianapolis, IN 46260
  • Reassigned Medicare billing, Indiana enrollment
  • 294 clinicians in this Medicare group
NPI 1013967736 (317) 338-2273

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 12

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

ADAM SNOAP
Otolaryngology (Plastic Surgery within the Head & Neck)
8402 HARCOURT RD STE 400
INDIANAPOLIS, IN 46260
Marion County (317) 338-6815
LORAINE RUTH CONDREY APRN
Nurse Practitioner (Pediatrics)
8402 HARCOURT RD STE 400
INDIANAPOLIS, IN 46260
Marion County (317) 338-6815
RONDA ALAZAN HAMAKER MD
Otolaryngology (Pediatric Otolaryngology)
8402 HARCOURT RD STE 400
INDIANAPOLIS, IN 46260
Marion County (317) 338-6815
RAVINDHRA G ELLURU MD, PHD
Otolaryngology (Pediatric Otolaryngology)
8402 HARCOURT RD STE 400
INDIANAPOLIS, IN 46260
Marion County (317) 338-6815
DR. MACIE L WILLHITE AU.D.
Audiologist
8402 HARCOURT RD STE 400
INDIANAPOLIS, IN 46260
Marion County (317) 338-6815
RICHARD CHRISTOPHER MIYAMOTO MD
Otolaryngology (Pediatric Otolaryngology)
8402 HARCOURT RD STE 400
INDIANAPOLIS, IN 46260
Marion County (317) 338-6815
JENNI THOMAS NP
Nurse Practitioner (Pediatrics)
8402 HARCOURT RD STE 400
INDIANAPOLIS, IN 46260
Marion County (317) 338-6815
DR. KIRA ELOUISE WHITE AU.D.
Audiologist
8402 HARCOURT RD STE 400
INDIANAPOLIS, IN 46260
Marion County (317) 338-6815

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 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.

Where is Stacey Ishman located?

Stacey Ishman practices at 8402 Harcourt Rd Ste 400, Indianapolis, IN 46260. The listed phone number is (317) 338-6815.

What is Stacey Ishman's specialty?

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

Is Stacey Ishman enrolled in Medicare?

Yes. Stacey Ishman is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Stacey Ishman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacey Ishman reassigns Medicare benefits to St Vincent Pediatric Subspecialties (Indianapolis, IN). 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 Stacey Ishman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stacey Ishman accept?

Health plans from CareSource list Stacey Ishman 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 Stacey Ishman was last updated on April 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.