DR. KRYSTAL ALTHEA RENNER WIDAU D.O.
NPI 1780973941
Pediatrics - Neonatal-Perinatal Medicine in Indianapolis, IN
About Dr. Krystal Althea Renner Widau D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KRYSTAL ALTHEA RENNER WIDAU D.O. (NPI 1780973941) is an individual neonatal-perinatal medicine provider in Indianapolis, Indiana, licensed in Indiana (02004491A) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Krystal Althea Renner Widau D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Krystal Widau reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Indianapolis, IN 46260
- Reassigned Medicare billing, Indiana enrollment
- 294 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.
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 46260
INDIANAPOLIS, IN 46260
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 Krystal Widau's NPI number?
The NPI number for Krystal Widau is 1780973941. It was assigned to this individual provider in the NPPES registry on March 28, 2011.
Where is Krystal Widau located?
Krystal Widau practices at 8111 Township Line Rd, Indianapolis, IN 46260. The listed phone number is (317) 415-7921.
What is Krystal Widau's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.
Is Krystal Widau enrolled in Medicare?
Yes. Krystal Widau is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Krystal Widau's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Krystal Widau reassigns Medicare benefits to St Vincent Pediatric Subspecialties (Indianapolis, 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 Krystal Widau's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Krystal Widau accept?
Health plans from Anthem Blue Cross and Blue Shield and CareSource list Krystal Widau 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 Krystal Widau was last updated on October 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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. Krystal Althea Renner Widau, D.O. · NPI 1780973941
Neonatal-Perinatal Medicine physician in Indianapolis, Indiana. Individual provider, active in the CMS NPPES registry since March 28, 2011.
## Identity
- **NPI:** 1780973941 (Entity type: Individual)
- **Enumerated:** March 28, 2011
- **Primary specialty:** Pediatrics - Neonatal-Perinatal Medicine · taxonomy 2080N0001X
- **State license:** 02004491A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 8111 TOWNSHIP LINE RD, Indianapolis, IN 46260-2479
- **Phone:** (317) 415-7921
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** St Vincent Pediatric Subspecialties (NPI 1013967736, Indianapolis, IN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 7, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1780973941) · Data from the CMS NPPES public registry.