Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NICHOLAS THEODORE SEVERYN DO
NPI 1366897605
Pediatrics - Neonatal-Perinatal Medicine in Indianapolis, IN

Q: What is Nicholas Severyn's NPI number?

The NPI number for Nicholas Severyn is 1366897605. It was assigned to this individual provider in the NPPES registry on April 24, 2016.

Q: What is Nicholas Severyn's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Q: When was this NPI record last updated?

The NPPES record for Nicholas Severyn was last updated on July 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 days 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 April 24, 2016PECOS Enrolled

705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202(317) 274-4779(317) 948-9806 Get Directions Write a Review

NPPES record last updated: July 2, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 14, 2026, Jun 8, 2022 (2 updates tracked since 2022).

On this page

About Nicholas Theodore Severyn Do NPPES

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

NICHOLAS THEODORE SEVERYN DO (NPI 1366897605) is an individual neonatal-perinatal medicine provider in Indianapolis, Indiana, licensed in Indiana (02005617A) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366897605

Entity TypeIndividualMale

Primary Taxonomy2080N0001X

Provider Legal NameNICHOLAS THEODORE SEVERYNCredential: DO

Location Address705 RILEY HOSPITAL DRIndianapolis, IN 46202-5109

Mailing AddressPo Box 719094Chicago, IL 60677-9318 · (317) 777-6435 · Fax (317) 777-6644

Phone(317) 274-4779

Fax(317) 948-9806

Sole ProprietorNo

Enumeration DateApril 24, 2016

Last NPPES UpdateJuly 2, 20262 updates tracked since enumeration

NPPES CertifiedJuly 2, 2026

✔ NPI 1366897605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080N0001X

License✔ Licensed in IN · 02005617A

Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

705 RILEY HOSPITAL DR, Indianapolis, IN 46202

Open in Google Maps ↗

Other Identifiers 1

Medicaid300130717IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicholas Theodore Severyn Do 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.

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.

MOHANNAD MOALLEM M.D.

Pediatrics (Neonatal-Perinatal Medicine)