DR. KRYSTAL ALTHEA RENNER WIDAU D.O.
NPI 1780973941
Pediatrics - Neonatal-Perinatal Medicine in Indianapolis, IN

Q: 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.

Q: What is Krystal Widau's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Q: When was this NPI record last updated?

The NPPES record for Krystal Widau was last updated on October 7, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 28, 2011PECOS Enrolled

8111 TOWNSHIP LINE RD, INDIANAPOLIS, IN 46260(317) 415-7921 Get Directions Write a Review

NPPES record last updated: October 7, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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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

NPI1780973941

Entity TypeIndividualFemale

Primary Taxonomy2080N0001X

Provider Legal NameDR. KRYSTAL ALTHEA RENNER WIDAUCredential: D.O.

Location Address8111 TOWNSHIP LINE RDIndianapolis, IN 46260-2479

Mailing Address10330 N Meridian St, Suite 201Indianapolis, IN 46290-1024

Phone(317) 415-7921

Sole ProprietorNo

Enumeration DateMarch 28, 2011

Last NPPES UpdateOctober 7, 2014

✔ NPI 1780973941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080N0001X

License✔ Licensed in IN · 02004491A

Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

8111 TOWNSHIP LINE RD, Indianapolis, IN 46260

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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).

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.

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.

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