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LYLE P FETTIG MD
NPI 1528180494
Internal Medicine - Hospice and Palliative Medicine in Indianapolis, IN

Active since April 04, 2007PECOS Enrolled
91.49/100
CMS Quality Rating
1001 W 10TH ST, INDIANAPOLIS, IN 46202(317) 630-7979(317) 630-2668 Get Directions Write a Review

NPPES record last updated: April 22, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Lyle P Fettig Md NPPES

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

LYLE P FETTIG MD (NPI 1528180494) is an individual hospice and palliative medicine provider in Indianapolis, Indiana, licensed in Indiana (01059135A) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS and maintains a secondary practice location in Indianapolis.

NPPES Registry Identity

NPI1528180494
Entity TypeIndividualMale
Primary Taxonomy207RH0002X
Provider Legal NameLYLE P FETTIGCredential: MD
Location Address1001 W 10TH STIndianapolis, IN 46202-2859
Mailing Address8910 Purdue Rd, Ste.500Indianapolis, IN 46268-6100
Phone(317) 630-7979
Fax(317) 630-2668
Sole ProprietorNo
Enumeration DateApril 4, 2007
Last NPPES UpdateApril 22, 2025
NPPES CertifiedApril 22, 2025
✔ NPI 1528180494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RH0002X
License✔ Licensed in IN · 01059135A
Definition
An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
Also ListedInternal MedicineTaxonomy 207R00000X · License 01059135A (IN)
1001 W 10TH ST, Indianapolis, IN 46202
Open in Google Maps ↗

Secondary Practice Location 1

Location 1720 Eskeanzi AveIndianapolis, IN 46202-5166 · Phone (317) 880-7666 · Fax (317) 880-0343

Other Identifiers 2

Medicaid200860060IN
Other000000524792IN · Anthem

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lyle P Fettig Md 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Lyle Fettig reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Health And Hospital Corporation Of Marion County
0.3 mi
Federally Qualified Health Center (FQHC)
720 ESKENAZI AVE, ESKENAZI HEALTH OUTPATIENT CARE CENTER, 2ND FLOOR
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 564 clinicians in this Medicare group
NPI 1164852513 (317) 880-7666
Eskenazi Medical Group Inc
0.4 mi
Adult Medicine
720 ESKENAZI AVE
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 386 clinicians in this Medicare group
NPI 1730451063 (317) 880-7666

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

91.49/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality98.84
Promoting Interoperability97
Improvement Activities40
Cost46.2

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.

TRACY ANN WHITAKER MA, RD, CD
Dietitian, Registered
1001 W 10TH ST
INDIANAPOLIS, IN 46202
Marion County (317) 630-7287
MRS. LAURA MARIE SCHNUR R.D.
Dietitian, Registered
1001 W 10TH ST
INDIANAPOLIS, IN 46202
Marion County (317) 630-7287
SHIRLEY A HOWELL NP
Nurse Practitioner
1001 W 10TH ST
INDIANAPOLIS, IN 46202
Marion County (317) 808-0573
HEATHER R NIXON N.P.
Nurse Practitioner
1001 W 10TH ST
INDIANAPOLIS, IN 46202
Marion County (317) 274-8660
GREGORY P GRAMELSPACHER MD
Internal Medicine
1001 W 10TH ST
INDIANAPOLIS, IN 46202
Marion County (317) 630-7979
OSCAR VIEGAS MD
Anesthesiology
1001 W 10TH ST
INDIANAPOLIS, IN 46202
Marion County (317) 630-7525
CENTRAL BRACE & LIMB CO., INC.
Prosthetic/Orthotic Supplier
1001 W 10TH ST
INDIANAPOLIS, IN 46202
Marion County (317) 409-7974
JON D DUKE M.D.
Internal Medicine
1001 W 10TH ST
INDIANAPOLIS, IN 46202
Marion County (317) 630-7979

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 Lyle Fettig's NPI number?

The NPI number for Lyle Fettig is 1528180494. It was assigned to this individual provider in the NPPES registry on April 4, 2007.

Where is Lyle Fettig located?

Lyle Fettig practices at 1001 W 10th St, Indianapolis, IN 46202. The listed phone number is (317) 630-7979.

What is Lyle Fettig's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207RH0002X.

Is Lyle Fettig enrolled in Medicare?

Yes. Lyle Fettig is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Lyle Fettig's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lyle Fettig reassigns Medicare benefits to 2 organizations: The Health And Hospital Corporation Of Marion County (Indianapolis, IN) and Eskenazi Medical Group Inc (Indianapolis, 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 Lyle Fettig'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 Lyle Fettig was last updated on April 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.