PEDIATRIC SURGICAL ASSOCIATES INC
NPI 1790880292
Surgery - Pediatric Surgery in Indianapolis, IN

Active since September 13, 2006
705 RILEY HOSPITAL DR STE 2500, INDIANAPOLIS, IN 46202(317) 274-4681(317) 274-4491 Get Directions Write a Review

NPPES record last updated: July 26, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 26, 2024, Sep 30, 2020 (2 updates tracked since 2020).

About Pediatric Surgical Associates Inc NPPES

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

PEDIATRIC SURGICAL ASSOCIATES INC (NPI 1790880292) is a healthcare organization registered as a pediatric surgery in Indianapolis, Indiana and active in the NPI registry since September 2006. The organization lists Todd A Williams, Cfo, as its authorized official.

NPPES Registry Identity

NPI1790880292
Entity TypeOrganization
Primary Taxonomy2086S0120X
Legal Business NamePEDIATRIC SURGICAL ASSOCIATES INC
Location Address705 RILEY HOSPITAL DR STE 2500Indianapolis, IN 46202-5109
Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959 · (877) 668-5621
Fax(317) 274-4491
Organization SubpartNo
Authorized OfficialTodd A WilliamsCfo · (317) 948-3525
Enumeration DateSeptember 13, 2006
Last NPPES UpdateJuly 26, 20242 updates tracked since enumeration
NPPES CertifiedJuly 26, 2024
✔ NPI 1790880292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
705 RILEY HOSPITAL DR STE 2500, Indianapolis, IN 46202

Other Identifiers 1

Medicaid200349840IN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pediatric Surgical Associates Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

36

Medicare enrollment records show 36 clinicians reassign Medicare billing to Pediatric Surgical Associates Inc, which bills Medicare for the services they deliver. Of these, 18 practice at this address and 26 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 3

General Surgery18
Nurse Practitioner17
Pediatric Medicine1

Nearest to this location (20)

See all 36
Nurse Practitioner
NPI 1891414363
705 RILEY HOSPITAL DR
Indianapolis, IN 46202
(317) 446-3364
✔ PECOSSame address
Nurse Practitioner
NPI 1275050205
705 RILEY HOSPITAL DR STE 2500
Indianapolis, IN 46202
(317) 274-5785
✔ PECOSSame address
General Surgery
NPI 1184202962
705 RILEY HOSPITAL DR # 2500
Indianapolis, IN 46202
(317) 274-3215
✔ PECOSSame address
Nurse Practitioner
NPI 1548833643
705 RILEY HOSPITAL DR
Indianapolis, IN 46202
(317) 944-4681
✔ PECOSSame address
General Surgery
NPI 1811066608
705 RILEY HOSPITAL DR STE 2500
Indianapolis, IN 46202
(317) 274-4681
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1962797308
705 RILEY HOSPITAL DR
Indianapolis, IN 46202
(317) 274-4681
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1538425418
705 RILEY HOSPITAL DR
Indianapolis, IN 46202
(317) 944-4681
✔ PECOSSame address
General Surgery
NPI 1770791378
705 RILEY HOSPITAL DR RM 2500
Indianapolis, IN 46202
(317) 439-1949
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1366155061
705 RILEY HOSPITAL DR
Indianapolis, IN 46202
(317) 274-4779
✔ PECOSSame address
General Surgery
NPI 1316526692
705 RILEY HOSPITAL DR
Indianapolis, IN 46202
(317) 274-4491
✔ PECOSSame address
General Surgery
NPI 1437129434
705 RILEY HOSPITAL DR
Indianapolis, IN 46202
(317) 274-4681
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1548317431
705 RILEY HOSPITAL DR
Indianapolis, IN 46202
(317) 962-2000
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1104917269
705 RILEY HOSPITAL DR ROC 4270
Indianapolis, IN 46202
(317) 278-7738
✔ PECOSSame address
General Surgery
NPI 1932397015
705 RILEY HOSPITAL DR RI2500
Indianapolis, IN 46202
(317) 274-5706
✔ PECOSSame address
Nurse Practitioner
NPI 1578236618
705 RILEY HOSPITAL DR STE 2500
Indianapolis, IN 46202
(317) 944-4681
✔ PECOSSame address
General Surgery
NPI 1831169820
705 RILEY HOSPITAL DR STE 2500
Indianapolis, IN 46202
(317) 274-4681
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1053811364
705 RILEY HOSPITAL DR
Indianapolis, IN 46202
(317) 948-0726
✔ PECOSSame address
Nurse Practitioner
NPI 1427472174
705 RILEY HOSPITAL DR STE 2500
Indianapolis, IN 46202
(317) 948-4950
✔ PECOSSame address
Nurse Practitioner
NPI 1477706307
702 BARNHILL DR ROC 4270
Indianapolis, IN 46202
(317) 274-7208
✔ PECOS0.1 mi
General Surgery
NPI 1073193876
545 BARNHILL DR
Indianapolis, IN 46202
(317) 274-4966
✔ PECOS0.2 mi
See all 36 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Pediatric Surgical Associates Inc's NPI number?

The NPI number for Pediatric Surgical Associates Inc is 1790880292. It was assigned to this organization in the NPPES registry on September 13, 2006.

Where is Pediatric Surgical Associates Inc located?

Pediatric Surgical Associates Inc is located at 705 Riley Hospital Dr Ste 2500, Indianapolis, IN 46202. The listed phone number is (317) 274-4681.

What is Pediatric Surgical Associates Inc's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Is Pediatric Surgical Associates Inc enrolled in Medicare?

Yes. Pediatric Surgical Associates Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pediatric Surgical Associates Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 36 clinicians in 3 Medicare specialties reassign their Medicare billing to Pediatric Surgical Associates Inc. A 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 the clinician's services. The largest specialties are General Surgery (18), Nurse Practitioner (17) and Pediatric Medicine (1). Of these, 18 practice at this address and 26 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Pediatric Surgical Associates Inc accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Pediatric Surgical Associates Inc 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 Pediatric Surgical Associates Inc was last updated on July 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.