INDIANAPOLIS PERIOPERATIVE MEDICINE, LLC
NPI 1720285976
Internal Medicine in Fishers, IN
About Indianapolis Perioperative Medicine, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
INDIANAPOLIS PERIOPERATIVE MEDICINE, LLC (NPI 1720285976) is a healthcare organization registered as an internal medicine in Fishers, Indiana and active in the NPI registry since June 2007. The organization holds a CLIA Waiver certificate valid through July 30, 2027 and lists Peter Caccavallo, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Indianapolis Perioperative Medicine, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Indianapolis Perioperative Medicine, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 15D1011801
Indianapolis Perioperative Medicine LLC · Fishers, INFrequently 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 Indianapolis Perioperative Medicine, LLC's NPI number?
The NPI number for Indianapolis Perioperative Medicine, LLC is 1720285976. It was assigned to this organization in the NPPES registry on June 29, 2007.
Where is Indianapolis Perioperative Medicine, LLC located?
Indianapolis Perioperative Medicine, LLC is located at 13000 E 136th St Suite 1100, Fishers, IN 46037. The listed phone number is (317) 678-3585.
What is Indianapolis Perioperative Medicine, LLC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Indianapolis Perioperative Medicine, LLC enrolled in Medicare?
Yes. Indianapolis Perioperative Medicine, LLC is registered in the Medicare PECOS enrollment system.
When is Indianapolis Perioperative Medicine, LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Indiana, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Indianapolis Perioperative Medicine, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Indianapolis Perioperative Medicine, LLC. A 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 the clinician's services. The largest specialties are Nurse Practitioner (3) and Internal Medicine (1). Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Indianapolis Perioperative Medicine, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 15D1011801) is associated with this NPI, valid through July 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Indianapolis Perioperative Medicine, LLC accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield list Indianapolis Perioperative Medicine, LLC 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 Indianapolis Perioperative Medicine, LLC was last updated on July 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Indianapolis Perioperative Medicine, Llc · NPI 1720285976
Internal Medicine organization in Fishers, Indiana. Organization record, active in the CMS NPPES registry since June 29, 2007.
## Identity
- **NPI:** 1720285976 (Entity type: Organization)
- **Enumerated:** June 29, 2007
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Peter Caccavallo, OWNER
## Practice location
- **Address:** 13000 E 136TH ST, SUITE 1100, Fishers, IN 46037-9478
- **Phone:** (317) 678-3585 · **Fax:** (317) 863-5084
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Indiana, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 4 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (3), Internal Medicine (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 15, 2014
- **Other identifiers:** Medicare ID-Type Unspecified 202680 (IN); Other DE0272 (IN); Medicaid 200424870-A (IN)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1720285976) · Data from the CMS NPPES public registry.