DR. JAMES D PIKE D.O.
NPI 1366443400
Internal Medicine - Pulmonary Disease in Indianapolis, IN
About Dr. James D Pike D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JAMES D PIKE D.O. (NPI 1366443400) is an individual pulmonary disease provider in Indianapolis, Indiana, licensed in Indiana (02000970A) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Indiana University Health, and is a graduate of R Franklin University Of Med & Sci/chicago Medical School (1984).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 9
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. James D Pike D.o. 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.
Medicare Billing Reassignments
2Medicare enrollment records show James Pike reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Indianapolis, IN 46268
- Reassigned Medicare billing, Indiana enrollment
- 42 clinicians in this Medicare group
Terre Haute, IN 47804
- Reassigned Medicare billing, Indiana enrollment
- 384 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 11
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Indiana University Health
Acute Care Hospitals · Indianapolis, INRiverview Health
Acute Care Hospitals · Noblesville, INAscension St Vincent Hospital
Acute Care Hospitals · Indianapolis, INPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46268 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims 54
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 18
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
INDIANAPOLIS, IN 46268
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 James Pike's NPI number?
The NPI number for James Pike is 1366443400. It was assigned to this individual provider in the NPPES registry on August 10, 2005.
Where is James Pike located?
James Pike practices at 7911 Michigan Rd, Indianapolis, IN 46268. The listed phone number is (317) 956-6288.
What is James Pike's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.
Is James Pike enrolled in Medicare?
Yes. James Pike 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.
Which organizations bill Medicare for James Pike's services?
According to the CMS Revalidation Reassignment List (October 2026 release), James Pike reassigns Medicare benefits to 2 organizations: Pike Medical Consultants PC (Indianapolis, IN) and Sound Physicians Of Indiana, LLC (Terre Haute, IN). Each 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 James Pike's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does James Pike accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list James Pike 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 James Pike affiliated with any hospitals?
According to CMS data, James Pike is affiliated with Indiana University Health, Riverview Health and Ascension St Vincent Hospital.
When was this NPI record last updated?
The NPPES record for James Pike was last updated on April 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.