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INDIANAPOLIS PERIOPERATIVE MEDICINE, LLC
NPI 1720285976
Internal Medicine in Fishers, IN

Active since June 29, 2007CLIA 15D1011801 · Waiver
13000 E 136TH ST, SUITE 1100, FISHERS, IN 46037(317) 678-3585(317) 863-5084 Get Directions Write a Review

NPPES record last updated: July 15, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1720285976
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameINDIANAPOLIS PERIOPERATIVE MEDICINE, LLC
Location Address13000 E 136TH ST, SUITE 1100Fishers, IN 46037-9478
Mailing Address13000 E 136th St, Suite 1100Fishers, IN 46037-9478 · (317) 678-3585 · Fax (317) 863-5084
Phone(317) 678-3585
Fax(317) 863-5084
Organization SubpartNo
Authorized OfficialPeter CaccavalloOwner · (317) 678-3585
Enumeration DateJune 29, 2007
Last NPPES UpdateJuly 15, 2014
✔ NPI 1720285976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IN · 1053181A
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
13000 E 136TH ST, Fishers, IN 46037
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Other Identifiers 3

Medicare ID-Type Unspecified202680IN · Medicare Group
OtherDE0272IN · Rr Medicare Group
Medicaid200424870-AIN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.Insurance ›

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, IN
Active · expires Jul 30, 2027
CLIA Number15D1011801
Laboratory TypePhysician Office
Certificate Effective DateJuly 31, 2025
Certificate Expiration DateJuly 30, 2027
Laboratory DirectorPeter P. Caccavallo
Laboratory Phone(317) 678-3585
Laboratory LocationIndianapolis Perioperative Medicine LLC13000 E 136th St, Ste 1100, Fishers, IN 46037
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 17

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

DR. GAURAV ARORA M.D.
Emergency Medicine
13000 E 136TH ST
FISHERS, IN 46037
Hamilton County (317) 944-4705
MICHAEL J BOJRAB M.D.
Emergency Medicine
13000 E 136TH ST
FISHERS, IN 46037
Hamilton County (317) 880-3900
MARZIEH T NADERI NP
Nurse Practitioner (Family)
13000 E 136TH ST
FISHERS, IN 46037
Hamilton County (317) 678-2000
DR. PETER CACCAVALLO
Internal Medicine
13000 E 136TH ST, SUITE 1100
FISHERS, IN 46037
Hamilton County (317) 678-3585
MATTHIEU ZINGG
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
13000 E 136TH ST
FISHERS, IN 46037
Hamilton County (804) 356-6205
ALEC EMILIO RIVERA NP
Nurse Practitioner (Family)
13000 E 136TH ST
FISHERS, IN 46037
Hamilton County (317) 678-1310
DR. CHARLOTTE ORR SEASLY MD
Emergency Medicine
13000 E 136TH ST
FISHERS, IN 46037
Hamilton County (317) 678-2273
TODD M JOHNSON MD
Radiology (Diagnostic Radiology)
13000 E 136TH ST
FISHERS, IN 46037
Hamilton County (317) 678-1700

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 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.

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 and Ambetter from Meridian 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.