GRACE YEDLICKA MD
NPI 1871295485
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Active since March 20, 2023PECOS Enrolled
550 UNIVERSITY BLVD RM 641, INDIANAPOLIS, IN 46202(317) 948-2444(317) 944-1848 Get Directions Write a Review

NPPES record last updated: June 7, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 7, 2024, Mar 20, 2023 (2 updates tracked since 2023).

About Grace Yedlicka Md NPPES

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

GRACE YEDLICKA MD (NPI 1871295485) is an individual student in an organized health care education/training program in Indianapolis, Indiana and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Lone Tree.

NPPES Registry Identity

NPI1871295485
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameGRACE YEDLICKACredential: MD
Location Address550 UNIVERSITY BLVD RM 641Indianapolis, IN 46202-5149
Mailing Address550 University Blvd Rm 641Indianapolis, IN 46202-5149 · (317) 948-2444 · Fax (317) 944-1848
Fax(317) 944-1848
Sole ProprietorNo
Enumeration DateMarch 20, 2023
Last NPPES UpdateJune 7, 20242 updates tracked since enumeration
NPPES CertifiedJune 7, 2024
NPI 1871295485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

550 UNIVERSITY BLVD RM 641, Indianapolis, IN 46202

Secondary Practice Location 1

Location 110099 Ridgegate Pkwy Ste 200Lone Tree, CO 80124-5532 · Phone (720) 225-4466

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Grace Yedlicka Md 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.

Radiology (Neuroradiology)
550 UNIVERSITY BLVD RM 641
INDIANAPOLIS, IN 46202
Radiology (Diagnostic Radiology)
550 UNIVERSITY BLVD RM 641
INDIANAPOLIS, IN 46202
Student in an Organized Health Care Education/Training Program
550 UNIVERSITY BLVD RM 641
INDIANAPOLIS, IN 46202
Student in an Organized Health Care Education/Training Program
550 UNIVERSITY BLVD RM 641
INDIANAPOLIS, IN 46202
Student in an Organized Health Care Education/Training Program
550 UNIVERSITY BLVD RM 641
INDIANAPOLIS, IN 46202
Student in an Organized Health Care Education/Training Program
550 UNIVERSITY BLVD RM 641
INDIANAPOLIS, IN 46202
Student in an Organized Health Care Education/Training Program
550 UNIVERSITY BLVD RM 641
INDIANAPOLIS, IN 46202
Radiology (Vascular & Interventional Radiology)
550 UNIVERSITY BLVD RM 641
INDIANAPOLIS, IN 46202

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1871295485, enumerated as an "individual" on March 20, 2023.

The provider is located at 550 UNIVERSITY BLVD RM 641 INDIANAPOLIS, IN 46202 and the phone number is (317) 948-2444.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.