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CHARLES DONALD ELOMBA
NPI 1669182663
Nurse Practitioner - Family in Indianapolis, IN

Active since November 30, 2022PECOS EnrolledAccepts Medicare Assignment
8333 NAAB RD STE 200, INDIANAPOLIS, IN 46260(317) 338-4400 Get Directions Write a Review

NPPES record last updated: January 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 6, 2023, Feb 9, 2023, Nov 30, 2022 (3 updates tracked since 2022).

About Charles Donald Elomba NPPES

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

CHARLES DONALD ELOMBA (NPI 1669182663) is an individual family provider in Indianapolis, Indiana, licensed in Indiana (71013482A) and active in the NPI registry since November 2022. He is enrolled in Medicare PECOS, is affiliated with Ascension St Vincent Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1669182663
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameCHARLES DONALD ELOMBA
Location Address8333 NAAB RD STE 200Indianapolis, IN 46260-1973
Mailing Address8333 Naab Rd Ste 200Indianapolis, IN 46260-1973
Phone(317) 338-4400
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateNovember 30, 2022
Last NPPES UpdateJanuary 26, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2024
✔ NPI 1669182663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IN · 71013482A
8333 NAAB RD STE 200, Indianapolis, IN 46260
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1727 Moon RdPlainfield, IN 46168-8757 · Phone (317) 909-7738
Location 22001 W 86th StIndianapolis, IN 46260-1902 · Phone (317) 338-2345

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, UnitedHealthcare.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

Charles Donald Elomba 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 ID1759746001
PECOS Enrollment IDI20230420002153
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.

Hospital Affiliations CMS Care Compare

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

Ascension St Vincent Hospital

Acute Care Hospitals · Indianapolis, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150084
Location2001 W 86th StIndianapolis, IN 46260 · Marion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46260 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
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
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 2

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

JEFFREY TAYLOR GIBBS M.D.
Surgery (Plastic and Reconstructive Surgery)
8333 NAAB RD STE 200
INDIANAPOLIS, IN 46260
Marion County (317) 338-4400
JAMIE PETERS PA
Physician Assistant
8333 NAAB RD STE 200
INDIANAPOLIS, IN 46260
Marion County (317) 338-4400

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 Charles Elomba's NPI number?

The NPI number for Charles Elomba is 1669182663. It was assigned to this individual provider in the NPPES registry on November 30, 2022.

Where is Charles Elomba located?

Charles Elomba practices at 8333 Naab Rd Ste 200, Indianapolis, IN 46260. The listed phone number is (317) 338-4400.

What is Charles Elomba's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Charles Elomba enrolled in Medicare?

Yes. Charles Elomba 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.

What insurance does Charles Elomba accept?

Health plans from CareSource and UnitedHealthcare list Charles Elomba 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.

Is Charles Elomba affiliated with any hospitals?

According to CMS data, Charles Elomba is affiliated with Ascension St Vincent Hospital.

When was this NPI record last updated?

The NPPES record for Charles Elomba was last updated on January 26, 2024. 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.