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

DR. COREY STUMP DO
NPI 1417534611
Radiology - Diagnostic Radiology in Indianapolis, IN

Active since March 25, 2021PECOS Enrolled
1701 N SENATE BLVD, INDIANAPOLIS, IN 46202(317) 962-6793 Get Directions Write a Review

NPPES record last updated: July 21, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 21, 2026, Mar 25, 2021 (2 updates tracked since 2021).

About Dr. Corey Stump Do NPPES

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

DR. COREY STUMP DO (NPI 1417534611) is an individual diagnostic radiology provider in Indianapolis, Indiana, licensed in Indiana (02008987A) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Indianapolis, and is a graduate of Marian University College Of Osteopathic Medicine (2021).

NPPES Registry Identity

NPI1417534611
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. COREY STUMPCredential: DO
Location Address1701 N SENATE BLVDIndianapolis, IN 46202-1239
Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959
Sole ProprietorNo
Medical School CMSMarian University College Of Osteopathic MedicineGraduated 2021
Enumeration DateMarch 25, 2021
Last NPPES UpdateJuly 21, 20262 updates tracked since enumeration
NPPES CertifiedJuly 21, 2026
NPI 1417534611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in IN · 02008987A
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1701 N SENATE BLVD, Indianapolis, IN 46202

Secondary Practice Location 1

Location 1550 University Blvd Rm 641Indianapolis, IN 46202-5149 · Phone (317) 944-1816

Other Identifiers 1

Medicaid300052278IN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Corey Stump Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID941602775
PECOS Enrollment IDI20260528001258
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46202 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Anesthesiology
1701 N SENATE BLVD
INDIANAPOLIS, IN 46202
Emergency Medicine
1701 N SENATE BLVD, B401
INDIANAPOLIS, IN 46202
Internal Medicine
1701 N SENATE BLVD
INDIANAPOLIS, IN 46202
Internal Medicine (Critical Care Medicine)
1701 N SENATE BLVD
INDIANAPOLIS, IN 46202
Nurse Practitioner (Family)
1701 N SENATE BLVD, RM AG 001
INDIANAPOLIS, IN 46202
Pediatrics (Pediatric Cardiology)
1701 N SENATE BLVD
INDIANAPOLIS, IN 46202
Internal Medicine (Sleep Medicine)
1701 N SENATE BLVD
INDIANAPOLIS, IN 46202
Radiology (Diagnostic Radiology)
1701 N SENATE BLVD, RADIOLOGY DEPT
INDIANAPOLIS, IN 46202

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 Corey Stump's NPI number?

The NPI number for Corey Stump is 1417534611. It was assigned to this individual provider in the NPPES registry on March 25, 2021.

Where is Corey Stump located?

Corey Stump practices at 1701 N Senate Blvd, Indianapolis, IN 46202. The listed phone number is (317) 962-6793.

What is Corey Stump's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Corey Stump enrolled in Medicare?

Yes. Corey Stump is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Corey Stump was last updated on July 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 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.