DR. BENJAMIN CHARLES NICK DO
NPI 1720848278
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Active since March 21, 2024PECOS Enrolled
1120 W. MICHIGAN STREET, GATCH HALL CL 365, INDIANAPOLIS, IN 46202(317) 274-0267 Get Directions Write a Review

NPPES record last updated: July 26, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Benjamin Charles Nick Do NPPES

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

DR. BENJAMIN CHARLES NICK DO (NPI 1720848278) is an individual student in an organized health care education/training program in Indianapolis, Indiana, licensed in Indiana (11023584A) and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720848278
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. BENJAMIN CHARLES NICKCredential: DO
Location Address1120 W. MICHIGAN STREET, GATCH HALL CL 365Indianapolis, IN 46202
Mailing Address350 W. 14th St., Indianapolis, In 46202, Office 6065Indianapolis, IN 46260-1972 · (317) 274-0267
Sole ProprietorNo
Enumeration DateMarch 21, 2024
Last NPPES UpdateJuly 26, 2025
NPPES CertifiedJuly 26, 2025
NPI 1720848278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in IN · 11023584A
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1120 W. MICHIGAN STREET, Indianapolis, IN 46202

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Benjamin Charles Nick Do 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.

Other Providers at the Same Location NPPES 3

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

Internal Medicine (Endocrinology, Diabetes & Metabolism)
1120 W. MICHIGAN STREET, GATCH HALL 380
INDIANAPOLIS, IN 46202
Internal Medicine (Pulmonary Disease)
1120 W. MICHIGAN STREET, GATCH HALL CL285
INDIANAPOLIS, IN 46202
Student in an Organized Health Care Education/Training Program
1120 W. MICHIGAN STREET, GATCH HALL, CL 365
INDIANAPOLIS, IN 46202

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 Benjamin Nick's NPI number?

The NPI number for Benjamin Nick is 1720848278. It was assigned to this individual provider in the NPPES registry on March 21, 2024.

Where is Benjamin Nick located?

Benjamin Nick practices at 1120 W. Michigan Street Gatch Hall Cl 365, Indianapolis, IN 46202. The listed phone number is (317) 274-0267.

What is Benjamin Nick's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Benjamin Nick enrolled in Medicare?

Yes. Benjamin Nick is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Benjamin Nick was last updated on July 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.