MARYELLEN E GUSIC MD
NPI 1760432397
Pediatrics in Indianapolis, IN

Q: What is Maryellen Gusic's NPI number?

The NPI number for Maryellen Gusic is 1760432397. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Q: What is Maryellen Gusic's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Maryellen Gusic was last updated on July 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 May 12, 2006

705 RILEY HOSPITAL DR, SUITE 1300, INDIANAPOLIS, IN 46202(317) 944-2801(317) 944-5630 Get Directions Write a Review

NPPES record last updated: July 30, 2013. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Maryellen E Gusic Md NPPES

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

MARYELLEN E GUSIC MD (NPI 1760432397) is an individual pediatrics provider in Indianapolis, Indiana, licensed in Indiana (01069711A) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1760432397

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameMARYELLEN E GUSICCredential: MD

Location Address705 RILEY HOSPITAL DR, SUITE 1300Indianapolis, IN 46202-5109

Mailing Address950 N Meridian Street, Suite 500 - Provider EnrollmentIndianapolis, IN 46204-3908 · (317) 963-0595 · Fax (317) 962-4950

Phone(317) 944-2801

Fax(317) 944-5630

Sole ProprietorNo

Enumeration DateMay 12, 2006

Last NPPES UpdateJuly 30, 2013

✔ NPI 1760432397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in IN · 01069711A✔ Licensed in PA · MD053599L

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

705 RILEY HOSPITAL DR, Indianapolis, IN 46202

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Other Identifiers 5

Medicare UPINF68973

Medicaid0014850040010PA

Medicaid201055470IN

Medicare PIN068010015IN

Medicare PIN527574PA

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.

MOHANNAD MOALLEM M.D.

Pediatrics (Neonatal-Perinatal Medicine)