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ETHAN CHERNIVEC MD
NPI 1336897586
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Active since March 16, 2022PECOS Enrolled
545 BARNHILL DR # EH125, INDIANAPOLIS, IN 46202(317) 274-7436 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 27, 2025, Apr 4, 2023 (2 updates tracked since 2023).

About Ethan Chernivec Md NPPES

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

ETHAN CHERNIVEC MD (NPI 1336897586) is an individual student in an organized health care education/training program in Indianapolis, Indiana and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS and maintains a secondary practice location in Indianapolis.

NPPES Registry Identity

NPI1336897586
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameETHAN CHERNIVECCredential: MD
Location Address545 BARNHILL DR # EH125Indianapolis, IN 46202-5112
Mailing Address545 Barnhill Dr # Eh125Indianapolis, IN 46202-5112 · (317) 274-7436
Phone(317) 274-7436
Sole ProprietorNo
Enumeration DateMarch 16, 2022
Last NPPES UpdateMay 27, 20252 updates tracked since enumeration
NPPES CertifiedMay 27, 2025
✔ NPI 1336897586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedSurgeryTaxonomy 208600000X · License 01095904A (IN)
545 BARNHILL DR # EH125, Indianapolis, IN 46202
Open in Google Maps ↗

Secondary Practice Location 1

Location 11701 N Senate BlvdIndianapolis, IN 46202-1239 · Phone (317) 944-5000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ethan Chernivec Md 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 Ethan Chernivec reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Surgeons, Inc.
1.2 mi
Surgery
1701 N SENATE BLVD
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 199 clinicians in this Medicare group
NPI 1316966229 (317) 944-5000

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 11

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

CLAIRE MARKS SCHOPPER MD
Student in an Organized Health Care Education/Training Program
545 BARNHILL DR # EH125
INDIANAPOLIS, IN 46202
Marion County (317) 274-7436
DR. SPYRIDON GIANNOPOULOS MD
Student in an Organized Health Care Education/Training Program
545 BARNHILL DR # EH125
INDIANAPOLIS, IN 46202
Marion County (317) 274-7436
CHRISTOPHOROS ALEXANDER HERODOTOU
Student in an Organized Health Care Education/Training Program
545 BARNHILL DR # EH125
INDIANAPOLIS, IN 46202
Marion County (317) 274-7436
EVAN ABBEY MD
Surgery
545 BARNHILL DR # EH125
INDIANAPOLIS, IN 46202
Marion County (317) 274-7436
QAIS ABUHASAN MD
Student in an Organized Health Care Education/Training Program
545 BARNHILL DR # EH125
INDIANAPOLIS, IN 46202
Marion County (317) 274-4966
NICOLE ALEXIS BECHER MD
Student in an Organized Health Care Education/Training Program
545 BARNHILL DR # EH125
INDIANAPOLIS, IN 46202
Marion County (317) 274-4966
BRIELLE WARNOCK MD
Student in an Organized Health Care Education/Training Program
545 BARNHILL DR # EH125
INDIANAPOLIS, IN 46202
Marion County (317) 274-7436
SOPHIA JOSEPH MD
Student in an Organized Health Care Education/Training Program
545 BARNHILL DR # EH125
INDIANAPOLIS, IN 46202
Marion County (317) 274-7436

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 Ethan Chernivec's NPI number?

The NPI number for Ethan Chernivec is 1336897586. It was assigned to this individual provider in the NPPES registry on March 16, 2022.

Where is Ethan Chernivec located?

Ethan Chernivec practices at 545 Barnhill Dr # Eh125, Indianapolis, IN 46202. The listed phone number is (317) 274-7436.

What is Ethan Chernivec's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Ethan Chernivec enrolled in Medicare?

Yes. Ethan Chernivec is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ethan Chernivec's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ethan Chernivec reassigns Medicare benefits to University Surgeons, Inc. (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 Ethan Chernivec's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ethan Chernivec was last updated on May 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.