DR. ENRICO JOSEPH STAZZONE M.D.
NPI 1255306015
Orthopaedic Surgery - Pediatric Orthopaedic Surgery in Indianapolis, IN

Q: What is Enrico Stazzone's NPI number?

The NPI number for Enrico Stazzone is 1255306015. It was assigned to this individual provider in the NPPES registry on February 22, 2006.

Q: What is Enrico Stazzone's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Pediatric Orthopaedic Surgery, with taxonomy code 207XP3100X.

Q: When was this NPI record last updated?

The NPPES record for Enrico Stazzone was last updated on August 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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 February 22, 2006PECOS Enrolled

8402 HARCOURT RD STE 100, INDIANAPOLIS, IN 46260(317) 338-7674 Get Directions Write a Review

NPPES record last updated: August 3, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 3, 2022, Apr 27, 2018, Apr 20, 2018 and 1 more (4 updates tracked since 2018).

On this page

About Dr. Enrico Joseph Stazzone M.d. NPPES

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

DR. ENRICO JOSEPH STAZZONE M.D. (NPI 1255306015) is an individual pediatric orthopaedic surgery provider in Indianapolis, Indiana, licensed in Indiana (01079832A) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Indianapolis.

NPPES Registry Identity

NPI1255306015

Entity TypeIndividualMale

Primary Taxonomy207XP3100X

Provider Legal NameDR. ENRICO JOSEPH STAZZONECredential: M.D.

Location Address8402 HARCOURT RD STE 100Indianapolis, IN 46260-2006

Mailing Address8402 Harcourt Rd Ste 100Indianapolis, IN 46260-2006

Phone(317) 338-7674

Sole ProprietorNo

Enumeration DateFebruary 22, 2006

Last NPPES UpdateAugust 3, 20224 updates tracked since enumeration

NPPES CertifiedAugust 3, 2022

✔ NPI 1255306015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Pediatric Orthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207XP3100X

Licenses✔ Licensed in IN · 01079832A✔ Licensed in MO · 2003004234

Definition

An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 01079832A (IN)

8402 HARCOURT RD STE 100, Indianapolis, IN 46260

Open in Google Maps ↗

Secondary Practice Location 1

Location 12001 W 86th StIndianapolis, IN 46260-1902 · Phone (317) 338-8857

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Enrico Joseph Stazzone 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 Enrico Stazzone 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 4

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

TARA BURMAN PA-C

Physician Assistant (Medical)

8402 HARCOURT RD STE 100
INDIANAPOLIS, IN 46260

Marion County (317) 338-7674

JONATHAN HOWARD WILHITE MD

Orthopaedic Surgery (Pediatric Orthopaedic Surgery)

8402 HARCOURT RD STE 100
INDIANAPOLIS, IN 46260

Marion County (317) 338-7674

JORDEN ROSE SMITH PA-C

Physician Assistant (Surgical)

8402 HARCOURT RD STE 100
INDIANAPOLIS, IN 46260

Marion County (317) 338-7674

LYDIA ROSE MANGAN PA-C

Physician Assistant (Medical)

8402 HARCOURT RD STE 100
INDIANAPOLIS, IN 46260

Marion County (317) 338-7674

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 Enrico Stazzone's NPI number?

The NPI number for Enrico Stazzone is 1255306015. It was assigned to this individual provider in the NPPES registry on February 22, 2006.

Where is Enrico Stazzone located?

Enrico Stazzone practices at 8402 Harcourt Rd Ste 100, Indianapolis, IN 46260. The listed phone number is (317) 338-7674.

What is Enrico Stazzone's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Pediatric Orthopaedic Surgery, with taxonomy code 207XP3100X.

Is Enrico Stazzone enrolled in Medicare?

Yes. Enrico Stazzone is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Enrico Stazzone's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Enrico Stazzone 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 Enrico Stazzone's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Enrico Stazzone accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield and 1 other insurer list Enrico Stazzone 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 Enrico Stazzone was last updated on August 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.