DR. NESTOR ANGUIANO M.D.
NPI 1326381559
Internal Medicine - Critical Care Medicine in Indianapolis, IN

Active since April 06, 2013PECOS EnrolledAccepts Medicare Assignment
1400 N RITTER AVE STE 375, INDIANAPOLIS, IN 46219(317) 355-9370 Get Directions Write a Review

NPPES record last updated: September 21, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 18, 2019, Jan 13, 2017 (2 updates tracked since 2017).

About Dr. Nestor Anguiano M.d. NPPES

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

DR. NESTOR ANGUIANO M.D. (NPI 1326381559) is an individual critical care medicine provider in Indianapolis, Indiana, licensed in Indiana (01091054A) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with Community Hospital East, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1326381559
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameDR. NESTOR ANGUIANOCredential: M.D.
Location Address1400 N RITTER AVE STE 375Indianapolis, IN 46219-3049
Mailing Address6626 E 75th St Ste 500Indianapolis, IN 46250-2890 · (317) 621-7547
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 6, 2013
Last NPPES UpdateSeptember 21, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 21, 2023
NPI 1326381559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
Licenses Licensed in IN · 01091054A Licensed in WI · 64260-20
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 64260-20 (WI)
1400 N RITTER AVE STE 375, Indianapolis, IN 46219

Accepted 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

Dr. Nestor Anguiano M.d. 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 ID8022231901
PECOS Enrollment IDI20230922001105
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 7

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.
277 services104 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
48 services48 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
45 services26 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
34 services27 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.
31 services31 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
26 services13 patients

Hospital Affiliations CMS Care Compare

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

Community Hospital East

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150074
Location1500 N Ritter AveIndianapolis, IN 46219 · Marion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46219 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.

Referred Medical Equipment & Supplies CMS DME claims 12

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
7 suppliers41 claims81 services$1.14 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable A7005
DME-Other DME · category DE000N
6 suppliers26 claims26 services$11.48 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
6 suppliers120 claims120 services$3.68 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
6 suppliers142 claims142 services$73.98 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
3 suppliers85 claims85 services$31.54 avg. paid by Medicare
Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606
DME-Drugs Administered Through DME · category DG006N
8 suppliers72 claims4,140 services$6.41 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

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

Internal Medicine (Critical Care Medicine)
1400 N RITTER AVE STE 375
INDIANAPOLIS, IN 46219
Internal Medicine
1400 N RITTER AVE STE 375
INDIANAPOLIS, IN 46219
Nurse Practitioner (Family)
1400 N RITTER AVE STE 375
INDIANAPOLIS, IN 46219
Registered Nurse
1400 N RITTER AVE STE 375
INDIANAPOLIS, IN 46219
Internal Medicine (Pulmonary Disease)
1400 N RITTER AVE STE 375
INDIANAPOLIS, IN 46219
Internal Medicine (Pulmonary Disease)
1400 N RITTER AVE STE 375
INDIANAPOLIS, IN 46219
Internal Medicine (Pulmonary Disease)
1400 N RITTER AVE STE 375
INDIANAPOLIS, IN 46219
Internal Medicine (Pulmonary Disease)
1400 N RITTER AVE STE 375
INDIANAPOLIS, IN 46219

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 Nestor Anguiano's NPI number?

The NPI number for Nestor Anguiano is 1326381559. It was assigned to this individual provider in the NPPES registry on April 6, 2013.

Where is Nestor Anguiano located?

Nestor Anguiano practices at 1400 N Ritter Ave Ste 375, Indianapolis, IN 46219. The listed phone number is (317) 355-9370.

What is Nestor Anguiano's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Nestor Anguiano enrolled in Medicare?

Yes. Nestor Anguiano 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 Nestor Anguiano accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Nestor Anguiano 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 Nestor Anguiano affiliated with any hospitals?

According to CMS data, Nestor Anguiano is affiliated with Community Hospital East.

When was this NPI record last updated?

The NPPES record for Nestor Anguiano was last updated on September 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.