DR. MARY D ROUSE MD
NPI 1578509345
Pediatrics - Adolescent Medicine in Indianapolis, IN

Active since June 21, 2006PECOS Enrolled
6640 INTECH BLVD, SUITE 195, INDIANAPOLIS, IN 46278(317) 295-0608(317) 295-0622 Get Directions Write a Review

NPPES record last updated: December 1, 2014. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Mary D Rouse Md NPPES

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

DR. MARY D ROUSE MD (NPI 1578509345) is an individual adolescent medicine provider in Indianapolis, Indiana, licensed in Indiana (01040728) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578509345
Entity TypeIndividualFemale
Primary Taxonomy2080A0000X
Provider Legal NameDR. MARY D ROUSECredential: MD
Location Address6640 INTECH BLVD, SUITE 195Indianapolis, IN 46278-2011
Mailing Address6640 Intech Blvd, Ste 195Indianapolis, IN 46278-2011 · (317) 295-0608 · Fax (317) 295-0622
Fax(317) 295-0622
Sole ProprietorNo
Enumeration DateJune 21, 2006
Last NPPES UpdateDecember 1, 2014
✔ NPI 1578509345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License✔ Licensed in IN · 01040728
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
6640 INTECH BLVD, Indianapolis, IN 46278

Other Identifiers 3

Medicaid100357530IN
Medicare PIN210880AIN
Medicare UPINE52427IN

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mary D Rouse 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

3

Medicare enrollment records show Mary Rouse reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cardiovascular Disease
1701 N SENATE BLVD
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 148 clinicians in this Medicare group
General Practice
1701 N SENATE BLVD
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 5,212 clinicians in this Medicare group
Pediatrics
705 RILEY HOSPITAL DR
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 523 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 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
6640 INTECH BLVD
INDIANAPOLIS, IN 46278
Dietitian, Registered
6640 INTECH BLVD, STE 195
INDIANAPOLIS, IN 46278
Psychologist (Counseling)
6640 INTECH BLVD, SUITE 190
INDIANAPOLIS, IN 46278
Dietitian, Registered
6640 INTECH BLVD, STE 195
INDIANAPOLIS, IN 46278
Psychologist (Clinical)
6640 INTECH BLVD
INDIANAPOLIS, IN 46278
Psychologist (Clinical)
6640 INTECH BLVD
INDIANAPOLIS, IN 46278
Psychologist (Clinical)
6640 INTECH BLVD, SUITE 190
INDIANAPOLIS, IN 46278
Psychologist (Clinical)
6640 INTECH BLVD
INDIANAPOLIS, IN 46278

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 Mary Rouse's NPI number?

The NPI number for Mary Rouse is 1578509345. It was assigned to this individual provider in the NPPES registry on June 21, 2006.

Where is Mary Rouse located?

Mary Rouse practices at 6640 Intech Blvd Suite 195, Indianapolis, IN 46278. The listed phone number is (317) 295-0608.

What is Mary Rouse's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Is Mary Rouse enrolled in Medicare?

Yes. Mary Rouse is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mary Rouse's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Rouse reassigns Medicare benefits to 3 organizations: Indiana University Health, Inc (Indianapolis, IN), Iu Health Medical Group, LLC (Indianapolis, IN) and Iu Health Medical Group Riley Specialists, LLC (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 Mary Rouse's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Rouse accept?

Health plans from AmeriHealth Caritas Next and Anthem Blue Cross and Blue Shield list Mary Rouse as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mary Rouse was last updated on December 1, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.