DR. NICHOLAS ROMAN PETTIT D.O., PH.D.
NPI 1730538794
Emergency Medicine in Indianapolis, IN

Q: 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.

Q: What is Nicholas Pettit's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: 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.

Active since June 09, 2016PECOS EnrolledAccepts Medicare Assignment

1701 N SENATE BLVD RM AG012, DEPARTMENT OF EMERGENCY MEDICINE, INDIANAPOLIS, IN 46202(317) 962-5974(317) 963-5394 Get Directions Write a Review

NPPES record last updated: April 6, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 6, 2021, Feb 4, 2021 (2 updates tracked since 2021).

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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

NPI1730538794

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDR. NICHOLAS ROMAN PETTITCredential: D.O., PH.D.

Location Address1701 N SENATE BLVD RM AG012, DEPARTMENT OF EMERGENCY MEDICINEIndianapolis, IN 46202-1239

Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959

Phone(317) 962-5974

Fax(317) 963-5394

Sole ProprietorYes

Medical School CMSOhio University, College Of Osteopathic MedicineGraduated 2016

Enumeration DateJune 9, 2016

Last NPPES UpdateApril 6, 20212 updates tracked since enumeration

NPPES CertifiedApril 6, 2021

✔ NPI 1730538794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in IN · 02005159A

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 11018903A (IN)

1701 N SENATE BLVD RM AG012, Indianapolis, IN 46202

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Accepted Insurance

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

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.

PECOS PAC ID6709177249

PECOS Enrollment IDI20170808001068

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.

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

40 services40 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

30 services30 patients

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, IN

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number150024

Location720 Eskenazi AvenueIndianapolis, IN 46202 · Marion County

Emergency services Birthing friendly

Physician 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.

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 20

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

SAMANTHA R MAURER DO

Student in an Organized Health Care Education/Training Program