DOMECIANO BRETANA
NPI 1376726265
Contractor in Indianapolis, IN
About Domeciano Bretana NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DOMECIANO BRETANA (NPI 1376726265) is an individual contractor provider in Indianapolis, Indiana, licensed in Indiana (05009464A) and active in the NPI registry since December 2007. He is a graduate of Other (1999).
NPPES Registry Identity
Specialties & Licenses
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
Domeciano Bretana 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 Reassignment
Medicare enrollment records show Domeciano Bretana reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Glenview, IL 60026
- Reassigned Medicare billing, Indiana enrollment
- 27 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.
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.
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 Domeciano Bretana's NPI number?
The NPI number for Domeciano Bretana is 1376726265. It was assigned to this individual provider in the NPPES registry on December 13, 2007.
Where is Domeciano Bretana located?
Domeciano Bretana practices at 5980 W 71st St Ste 102, Indianapolis, IN 46278. The listed phone number is (317) 388-0800.
What is Domeciano Bretana's specialty?
The primary specialty registered for this NPI is Contractor with taxonomy code 171W00000X.
Is Domeciano Bretana enrolled in Medicare?
Yes. Domeciano Bretana 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 organization bills Medicare for Domeciano Bretana's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Domeciano Bretana reassigns Medicare benefits to Select Rehabilitation, LLC (Glenview, IL). 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 Domeciano Bretana'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 Domeciano Bretana was last updated on December 13, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Domeciano Bretana · NPI 1376726265
Contractor provider in Indianapolis, Indiana. Individual provider, active in the CMS NPPES registry since December 13, 2007.
## Identity
- **NPI:** 1376726265 (Entity type: Individual)
- **Enumerated:** December 13, 2007
- **Primary specialty:** Contractor · taxonomy 171W00000X
- **State license:** 05009464A (Indiana)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 5980 W 71ST ST STE 102, Indianapolis, IN 46278-2711
- **Phone:** (317) 388-0800 · **Fax:** (317) 388-0805
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Select Rehabilitation, LLC (NPI 1346368248, Glenview, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1999
## Record status
- **NPPES last updated:** December 13, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1376726265) · Data from the CMS NPPES public registry.