DR. NICHOLAS ROMAN PETTIT D.O., PH.D.
NPI 1730538794
Emergency Medicine in Indianapolis, IN
About Dr. Nicholas Roman Pettit D.o., Ph.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. NICHOLAS ROMAN PETTIT D.O., PH.D. (NPI 1730538794) is an individual emergency medicine provider in Indianapolis, Indiana, licensed in Indiana (02005159A) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Eskenazi Health, and is a graduate of Ohio University, College Of Osteopathic Medicine (2016).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Nicholas Roman Pettit D.o., Ph.d. 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.
Medicare Billing Reassignments
3Medicare enrollment records show Nicholas Pettit reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Indianapolis, IN 46202
- Reassigned Medicare billing, Indiana enrollment
- 5,212 clinicians in this Medicare group
Indianapolis, IN 46202
- Reassigned Medicare billing, Indiana enrollment
- 1,781 clinicians in this Medicare group
Indianapolis, IN 46202
- Reassigned Medicare billing, Indiana enrollment
- 126 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.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Eskenazi Health
Acute Care Hospitals · Indianapolis, INPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
INDIANAPOLIS, IN 46202
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 Nicholas Pettit's NPI number?
The NPI number for Nicholas Pettit is 1730538794. It was assigned to this individual provider in the NPPES registry on June 9, 2016.
Where is Nicholas Pettit located?
Nicholas Pettit practices at 1701 N Senate Blvd Rm Ag012 Department Of Emergency Medicine, Indianapolis, IN 46202. The listed phone number is (317) 962-5974.
What is Nicholas Pettit's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Nicholas Pettit enrolled in Medicare?
Yes. Nicholas Pettit 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.
Which organizations bill Medicare for Nicholas Pettit's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Pettit reassigns Medicare benefits to 3 organizations: Iu Health Medical Group, LLC (Indianapolis, IN), Indiana University Health Care Associates, Inc. (Indianapolis, IN) and Icem-Wishard 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 Nicholas Pettit's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nicholas Pettit accept?
Health plans from CareSource and Cigna Healthcare list Nicholas Pettit 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 Nicholas Pettit affiliated with any hospitals?
According to CMS data, Nicholas Pettit is affiliated with Eskenazi Health.
When was this NPI record last updated?
The NPPES record for Nicholas Pettit was last updated on April 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Nicholas Roman Pettit, D.O., PH.D. · NPI 1730538794
Emergency Medicine physician in Indianapolis, Indiana. Individual provider, active in the CMS NPPES registry since June 9, 2016.
## Identity
- **NPI:** 1730538794 (Entity type: Individual)
- **Enumerated:** June 9, 2016
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 02005159A (Indiana)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1701 N SENATE BLVD RM AG012, DEPARTMENT OF EMERGENCY MEDICINE, Indianapolis, IN 46202-1239
- **Phone:** (317) 962-5974 · **Fax:** (317) 963-5394
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Iu Health Medical Group, LLC (NPI 1326893777, Indianapolis, IN); Indiana University Health Care Associates, Inc. (NPI 1679949002, Indianapolis, IN); Icem-Wishard LLC (NPI 1629304134, Indianapolis, IN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Ohio University, College Of Osteopathic Medicine, class of 2016
## Record status
- **NPPES last updated:** April 6, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1730538794) · Data from the CMS NPPES public registry.