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NICOLAS BARROS BAERTL MD
NPI 1316387996
Internal Medicine in Indianapolis, IN

Active since June 27, 2013PECOS EnrolledAccepts Medicare Assignment
1701 N SENATE BLVD, INDIANAPOLIS, IN 46202(317) 944-8660(317) 274-7792 Get Directions Write a Review

NPPES record last updated: March 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 6, 2025, Feb 1, 2023, Nov 24, 2020 (3 updates tracked since 2020).

About Nicolas Barros Baertl Md NPPES

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

NICOLAS BARROS BAERTL MD (NPI 1316387996) is an individual internal medicine provider in Indianapolis, Indiana, licensed in Indiana (01082158A) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with Indiana University Health, and maintains a secondary practice location in Indianapolis.

NPPES Registry Identity

NPI1316387996
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameNICOLAS BARROS BAERTLCredential: MD
Location Address1701 N SENATE BLVDIndianapolis, IN 46202-1239
Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959 · (877) 668-5621
Phone(317) 944-8660
Fax(317) 274-7792
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJune 27, 2013
Last NPPES UpdateMarch 6, 20253 updates tracked since enumeration
NPPES CertifiedMarch 6, 2025
✔ NPI 1316387996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IN · 01082158A
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X · License 01082158A (IN)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1701 N SENATE BLVD, Indianapolis, IN 46202
Open in Google Maps ↗

Secondary Practice Location 1

Location 1550 University Blvd Ste 2180Indianapolis, IN 46202-5149 · Phone (317) 962-0953

Other Identifiers 2

Medicaid300027501IN
Other264910223IN · Medicare

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

Nicolas Barros Baertl Md 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 ID4789935511
PECOS Enrollment IDI20190710000907
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 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
87 services37 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
36 services19 patients
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.
34 services25 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
19 services18 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
18 services16 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.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Indiana University Health

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150056
Location1701 N Senate BlvdIndianapolis, IN 46202 · Marion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46202 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
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.

Other Providers at the Same Location NPPES 20

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

THOMAS M DONAHUE MD
Anesthesiology
1701 N SENATE BLVD
INDIANAPOLIS, IN 46202
Marion County (317) 577-4200
DR. GINA MARIE DIANTONIO SWARTZEL M.D.
Emergency Medicine
1701 N SENATE BLVD, B401
INDIANAPOLIS, IN 46202
Marion County (317) 962-5975
NASER A KAFEEL DO
Internal Medicine
1701 N SENATE BLVD
INDIANAPOLIS, IN 46202
Marion County (317) 962-8776
ZACHARY JARRETT DO
Internal Medicine (Critical Care Medicine)
1701 N SENATE BLVD
INDIANAPOLIS, IN 46202
Marion County (317) 962-5820
BARBRA A BACHMEIER NP
Nurse Practitioner (Family)
1701 N SENATE BLVD, RM AG 001
INDIANAPOLIS, IN 46202
Marion County (317) 962-3886
MARK H HOYER MD
Pediatrics (Pediatric Cardiology)
1701 N SENATE BLVD
INDIANAPOLIS, IN 46202
Marion County (317) 678-3900
SHALINI K MANCHANDA MD
Internal Medicine (Sleep Medicine)
1701 N SENATE BLVD
INDIANAPOLIS, IN 46202
Marion County (888) 484-3258
SEAN DAVID GUSSICK MD
Radiology (Diagnostic Radiology)
1701 N SENATE BLVD, RADIOLOGY DEPT
INDIANAPOLIS, IN 46202
Marion County (317) 962-5740

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 Nicolas Barros Baertl's NPI number?

The NPI number for Nicolas Barros Baertl is 1316387996. It was assigned to this individual provider in the NPPES registry on June 27, 2013.

Where is Nicolas Barros Baertl located?

Nicolas Barros Baertl practices at 1701 N Senate Blvd, Indianapolis, IN 46202. The listed phone number is (317) 944-8660.

What is Nicolas Barros Baertl's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Nicolas Barros Baertl enrolled in Medicare?

Yes. Nicolas Barros Baertl 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 Nicolas Barros Baertl accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and UnitedHealthcare list Nicolas Barros Baertl 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.

Is Nicolas Barros Baertl affiliated with any hospitals?

According to CMS data, Nicolas Barros Baertl is affiliated with Indiana University Health.

When was this NPI record last updated?

The NPPES record for Nicolas Barros Baertl was last updated on March 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.