MR. TY MARTIN ROSEBERRY PA
NPI 1487604948
Physician Assistant in Indianapolis, IN
About Mr. Ty Martin Roseberry Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. TY MARTIN ROSEBERRY PA (NPI 1487604948) is an individual physician assistant in Indianapolis, Indiana, licensed in California (19182) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2003).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Ty Martin Roseberry Pa 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.
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.
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.
INDIANAPOLIS, IN 46202
INDIANAPOLIS, IN 46202
INDIANAPOLIS, IN 46202
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 Ty Roseberry's NPI number?
The NPI number for Ty Roseberry is 1487604948. It was assigned to this individual provider in the NPPES registry on May 12, 2006.
Where is Ty Roseberry located?
Ty Roseberry practices at 1801 N Senate Blvd #200, Indianapolis, IN 46202. The listed phone number is (317) 802-2000.
What is Ty Roseberry's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Ty Roseberry enrolled in Medicare?
Yes. Ty Roseberry 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.
When was this NPI record last updated?
The NPPES record for Ty Roseberry was last updated on November 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Mr. Ty Martin Roseberry, PA · NPI 1487604948
Physician Assistant physician in Indianapolis, Indiana. Individual provider, active in the CMS NPPES registry since May 12, 2006.
## Identity
- **NPI:** 1487604948 (Entity type: Individual)
- **Enumerated:** May 12, 2006
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 19182 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1801 N SENATE BLVD, #200, Indianapolis, IN 46202-1228
- **Phone:** (317) 802-2000 · **Fax:** (317) 924-0115
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2003
## Record status
- **NPPES last updated:** November 29, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1487604948) · Data from the CMS NPPES public registry.