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DATTABEN PANDYA NP
NPI 1255046728
Nurse Practitioner - Family in Greenwood, IN

Active since January 19, 2023PECOS EnrolledAccepts Medicare Assignment
1579 OLIVE BRANCH PARKE LN STE 180, GREENWOOD, IN 46143(317) 879-4850 Get Directions Write a Review

NPPES record last updated: February 12, 2025. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Feb 12, 2025, Jan 2, 2025, May 24, 2023 and 2 more (5 updates tracked since 2023).

About Dattaben Pandya Np NPPES

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

DATTABEN PANDYA NP (NPI 1255046728) is an individual family provider in Greenwood, Indiana, licensed in Indiana (71013503A) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1255046728
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDATTABEN PANDYACredential: NP
Location Address1579 OLIVE BRANCH PARKE LN STE 180Greenwood, IN 46143-5754
Mailing Address1579 Olive Branch Parke Ln Ste 180Greenwood, IN 46143-5754
Phone(317) 879-4850
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJanuary 19, 2023
Last NPPES UpdateFebruary 12, 20255 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2025
✔ NPI 1255046728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IN · 71013503A
Also ListedNurse PractitionerTaxonomy 363L00000X · License 71013503A (IN)
1579 OLIVE BRANCH PARKE LN STE 180, Greenwood, IN 46143
Open in Google Maps ↗

Secondary Practice Locations 2

Location 17990 E US Highway 36Avon, IN 46123-7790 · Phone (317) 272-0242
Location 2429 E Vermont St Ste 110Indianapolis, IN 46202-3685 · Phone (317) 559-0950

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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 and accepts Medicare assignment

Dattaben Pandya Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8729452610
PECOS Enrollment IDI20230315002423
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
30 services29 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
14 services14 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46143 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
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

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 Dattaben Pandya's NPI number?

The NPI number for Dattaben Pandya is 1255046728. It was assigned to this individual provider in the NPPES registry on January 19, 2023.

Where is Dattaben Pandya located?

Dattaben Pandya practices at 1579 Olive Branch Parke Ln Ste 180, Greenwood, IN 46143. The listed phone number is (317) 879-4850.

What is Dattaben Pandya's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Dattaben Pandya enrolled in Medicare?

Yes. Dattaben Pandya is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Dattaben Pandya accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Dattaben Pandya 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 Dattaben Pandya was last updated on February 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.