NABIL ADRA MD
NPI 1811285893
Internal Medicine - Hematology & Oncology in Indianapolis, IN

Active since July 12, 2011PECOS EnrolledAccepts Medicare Assignment
59.84/100
CMS Quality Rating
541 CLINICAL DR # CL630, INDIANAPOLIS, IN 46202(317) 278-2694(317) 278-2650 Get Directions Write a Review

NPPES record last updated: February 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 25, 2025, Nov 17, 2022, Aug 5, 2022 and 3 more (6 updates tracked since 2017).

About Nabil Adra Md NPPES

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

NABIL ADRA MD (NPI 1811285893) is an individual hematology & oncology provider in Indianapolis, Indiana, licensed in Indiana (01078274A) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS, is affiliated with Indiana University Health Bloomington Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1811285893
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameNABIL ADRACredential: MD
Location Address541 CLINICAL DR # CL630Indianapolis, IN 46202-5233
Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959
Fax(317) 278-2650
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateJuly 12, 2011
Last NPPES UpdateFebruary 25, 20256 updates tracked since enumeration
NPPES CertifiedFebruary 25, 2025
NPI 1811285893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in IN · 01078274A
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedSpecialistTaxonomy 174400000X · License 11016274A (IN)
Also ListedInternal MedicineTaxonomy 207R00000X · License 01078274A (IN)
Also ListedInternal Medicine · HematologyTaxonomy 207RH0000X · License 01078274A (IN)
Also ListedInternal Medicine · Medical OncologyTaxonomy 207RX0202X · License 01078274A (IN)
541 CLINICAL DR # CL630, Indianapolis, IN 46202

Secondary Practice Locations 2

Location 11701 N Senate BlvdIndianapolis, IN 46202-1239 · Phone (888) 484-3258
Location 21001 W 10th St, Wishard Hospital- West Building- M200.Indianapolis, IN 46202-2859 · Phone (317) 531-1248

Other Identifiers 2

Other000001081889IN · Anthem Ptan
Medicaid300002143IN

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Nabil Adra Md 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.

PECOS PAC ID6103067947
PECOS Enrollment IDI20170509000838
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.

Areas of Expertise CMS Part B claims 4

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
369 services130 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
252 services140 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
132 services87 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
18 services18 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Indiana University Health Bloomington Hospital

Acute Care Hospitals · Bloomington, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150051
Location2651 East Discovery ParkwayBloomington, IN 47408 · Monroe County
Emergency services Birthing friendly

Indiana University Health

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150056
Location1701 N Senate BlvdIndianapolis, IN 46202 · Marion County
Emergency services Birthing friendly

Indiana University Health Ball Memorial Hospital

Acute Care Hospitals · Muncie, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150089
Location2401 University AveMuncie, IN 47303 · Delaware County
Emergency services Birthing friendly

Iu Health West Hospital

Acute Care Hospitals · Avon, IN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number150158
Location1111 N Ronald Reagan PkwyAvon, IN 46123 · Hendricks County
Emergency services Birthing friendly

Indiana University Health North Hospital

Acute Care Hospitals · Carmel, IN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150161
Location11700 N Meridian StCarmel, IN 46032 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$161.76 typical visit price
range $53.07 – $161.76
Typical copayment $40.44 (range $13.26 – $40.44)
Most-billed visit code 99205
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

59.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality41.15
Promoting Interoperability98
Improvement Activities40
Cost10

Reported Quality Measures

Breast Cancer Screening
22%45 patients1/55-star benchmark: 100%
Colorectal Cancer Screening
36%416 patients2/55-star benchmark: 100%
Controlling High Blood Pressure
57%304 patients3/55-star benchmark: 98%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
50%98 patients3/55-star benchmark: 98%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
44%674 patients1/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
91%514 patients4/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
24%41 patients1/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Geriatric Medicine)
541 CLINICAL DR # CL630
INDIANAPOLIS, IN 46202

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 Nabil Adra's NPI number?

The NPI number for Nabil Adra is 1811285893. It was assigned to this individual provider in the NPPES registry on July 12, 2011.

Where is Nabil Adra located?

Nabil Adra practices at 541 Clinical Dr # Cl630, Indianapolis, IN 46202. The listed phone number is (317) 278-2694.

What is Nabil Adra's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Nabil Adra enrolled in Medicare?

Yes. Nabil Adra 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.

What insurance does Nabil Adra 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 Nabil Adra 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.

Is Nabil Adra affiliated with any hospitals?

According to CMS data, Nabil Adra is affiliated with Indiana University Health Bloomington Hospital, Indiana University Health, Indiana University Health Ball Memorial Hospital, Iu Health West Hospital and Indiana University Health North Hospital.

When was this NPI record last updated?

The NPPES record for Nabil Adra was last updated on February 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.