SYLVIA ERTEL MD
NPI 1568485183
Obstetrics & Gynecology in Indianapolis, IN

Q: What is Sylvia Ertel's NPI number?

The NPI number for Sylvia Ertel is 1568485183. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Q: What is Sylvia Ertel's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Sylvia Ertel was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since July 25, 2006PECOS EnrolledAccepts Medicare Assignment

7120 CLEARVISTA DR STE 2000, INDIANAPOLIS, IN 46256(317) 621-7120(317) 621-7119 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 24, 2020, Sep 13, 2017 (2 updates tracked since 2017).

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About Sylvia Ertel Md NPPES

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

SYLVIA ERTEL MD (NPI 1568485183) is an individual obstetrics & gynecology provider in Indianapolis, Indiana, licensed in Indiana (01055500A) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Community Hospital North, and is a graduate of New York University School Of Medicine (1998).

NPPES Registry Identity

NPI1568485183

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameSYLVIA ERTELCredential: MD

Location Address7120 CLEARVISTA DR STE 2000Indianapolis, IN 46256-1621

Mailing Address6626 E 75th St, Suite 500Indianapolis, IN 46250-2805

Phone(317) 621-7120

Fax(317) 621-7119

Sole ProprietorNo

Medical School CMSNew York University School Of MedicineGraduated 1998

Enumeration DateJuly 25, 2006

Last NPPES UpdateNovember 27, 20232 updates tracked since enumeration

NPPES CertifiedSeptember 24, 2020

✔ NPI 1568485183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in IN · 01055500A

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

7120 CLEARVISTA DR STE 2000, Indianapolis, IN 46256

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Other Identifiers 2

Medicaid200471180IN

Other000000312548IL · Anthem

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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

Sylvia Ertel Md 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.

PECOS PAC ID8426039025

PECOS Enrollment IDI20040528000655

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

14 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Community Hospital North

Acute Care Hospitals · Indianapolis, IN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150169

Location7150 Clearvista DrIndianapolis, IN 46256 · Marion County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46256 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

$122.49 typical visit price

range $53.07 – $161.76

Typical copayment $30.62 (range $13.26 – $40.44)

Most-billed visit code 99204

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.

ALYSSA LEE MERKEL PA-C

Physician Assistant