SAMUEL WARREN KOELLING DPT
NPI 1780294579
Physical Therapist in Indianapolis, IN
About Samuel Warren Koelling Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMUEL WARREN KOELLING DPT (NPI 1780294579) is an individual physical therapist in Indianapolis, Indiana, licensed in Indiana (05013785A) and active in the NPI registry since August 2020. He maintains a secondary practice location in Indianapolis and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Secondary Practice Location 1
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
Samuel Warren Koelling Dpt 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 Reassignment
Medicare enrollment records show Samuel Koelling reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Schererville, IN 46375
- Reassigned Medicare billing, Indiana enrollment
- 250 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 5
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46268 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
INDIANAPOLIS, IN 46268
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 Samuel Koelling's NPI number?
The NPI number for Samuel Koelling is 1780294579. It was assigned to this individual provider in the NPPES registry on August 6, 2020.
Where is Samuel Koelling located?
Samuel Koelling practices at 2902 W 86th St Ste 60, Indianapolis, IN 46268. The listed phone number is (317) 396-0870.
What is Samuel Koelling's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Samuel Koelling enrolled in Medicare?
Yes. Samuel Koelling 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 organization bills Medicare for Samuel Koelling's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Koelling reassigns Medicare benefits to Athletico, Ltd (Schererville, IN). The 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 Samuel Koelling's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Samuel Koelling accept?
Health plans from Anthem Blue Cross and Blue Shield list Samuel Koelling 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 Samuel Koelling was last updated on March 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Samuel Warren Koelling, DPT · NPI 1780294579
Physical Therapist provider in Indianapolis, Indiana. Individual provider, active in the CMS NPPES registry since August 6, 2020.
## Identity
- **NPI:** 1780294579 (Entity type: Individual)
- **Enumerated:** August 6, 2020
- **Primary specialty:** Physical Therapist · taxonomy 225100000X
- **State license:** 05013785A (Indiana)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2902 W 86TH ST STE 60, Indianapolis, IN 46268-4188
- **Phone:** (317) 396-0870
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Athletico, Ltd (NPI 1689974131, Schererville, IN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** March 5, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1780294579) · Data from the CMS NPPES public registry.