NPIMap

Individual provider Active NPI

Sean David Gussick, MD

  • Diagnostic Radiology Physician
  • Indianapolis, IN
National Provider Identifier
1013179829
Registry record updated Jan 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
01063216A Issued in IN
Practice address
1701 N Senate Blvd
Radiology Dept
Indianapolis, IN 46202-1239
Phone
(317) 962-5740
NPI assigned
Jul 2, 2008
Last updated
Jan 29, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 01063216A IN Primary

Addresses

Primary practice location

1701 N Senate Blvd
Radiology Dept
Indianapolis, IN 46202-1239

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other identifiers 2

IdentifierTypeStateIssuer
P00851233OtherINRAILROAD MEDICARE
200988960MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sgussick@direct.iuhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100819000972 IN Practitioner - Diagnostic Radiology 2365576774 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Medical College of Wisconsin, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry County Memorial HospitalGroup PAC ID 6002724085, 153 clinicians
Ella E M Brown Charitable CircleGroup PAC ID 1254228745, 172 clinicians
Greene County General HospitalGroup PAC ID 2961481544, 102 clinicians
Pacific Imaging Associates LLCGroup PAC ID 3577923499, 69 clinicians
Summit Radiology P CGroup PAC ID 0143295410, 101 clinicians
X-Ray Physicians of Shelbyville PCGroup PAC ID 2264420215, 43 clinicians

Practice addresses (Care Compare)

1000 N 16TH St
New Castle, IN 47362-4319
Phone (765) 521-0890

10817 Shiregreen LN
Fort Wayne, IN 46814-9322
Phone (269) 781-4271

1185 N 1000
Linton, IN 47441-5282
Phone 81284722812054

2209 Turnberry LN
Fort Wayne, IN 46814-9354
Phone (269) 781-4271

2801 Grey Oaks Blvd
Fort Wayne, IN 46814-9492
Phone (503) 413-7800

559 Woodruff Place W Dr
Indianapolis, IN 46201-1945
Phone (260) 432-1568

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ella E M Brown Charitable Circle Diagnostic Radiology CurrentSince Mar 22, 2025 Accepting new patients
Summit Radiology P C Diagnostic Radiology CurrentSince Feb 1, 2024 Accepting new patients
X-Ray Physicians of Shelbyville PC Diagnostic Radiology CurrentSince Feb 1, 2024 Accepting new patients
Major Hospital Current Accepting new patients
Greene County General Hospital CurrentSince Jul 31, 2025 Accepting new patients
Pacific Imaging Associates LLC Diagnostic Radiology CurrentSince Mar 24, 2025 Accepting new patients
Indiana University Radiology Associates, Inc. Diagnostic Radiology CurrentSince Jul 1, 2010 Accepting new patients
Henry County Memorial Hospital CurrentSince Mar 5, 2024 Accepting new patients
Henry County Memorial Hospital Current Accepting new patients
Greene County General Hospital Diagnostic Radiology CurrentSince Jul 31, 2025 Accepting new patients
Henry County Memorial Hospital CurrentSince Mar 5, 2024 Accepting new patients

Locations

5924 Reliable Pkwy
Chicago, IL 60686

5001 US Highway 30 W
#D
Fort Wayne, IN 46818
Phone (808) 599-4471

7221 Engle Rd
Ste 220
Fort Wayne, IN 46804
Phone 26043215688225

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

1701 Senate Blvd
#C6
Indianapolis, IN 46202
Phone (317) 962-9000

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

250 N Shadeland Ave
Ste 200
Indianapolis, IN 46219
Phone (317) 962-4836

1185 N 1000 W
Linton, IN 47441
Phone (812) 847-2281

1000 N 16th St
New Castle, IN 47362
Phone (765) 521-0890

2200 Forest Ridge Pkwy
New Castle, IN 47362
Phone (765) 521-7385

2451 Intelliplex Dr
Shelbyville, IN 46176
Phone (317) 392-3211

1000 S Main St
Tipton, IN 46072
Phone (765) 675-8500

200 N Madison St
Marshall, MI 49068
Phone (269) 789-3921

Interoperability endpoints

  • Direct secure messaging: sgussick@yourcarecommunity.org

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611878400000",
    "number": "1013179829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 N SENATE BLVD",
            "address_2": "RADIOLOGY DEPT",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462021239",
            "telephone_number": "317-962-5740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUSSICK",
        "first_name": "SEAN",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-02",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "01063216A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00851233",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200988960",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sgussick@direct.iuhealth.org",
            "affiliation": "N",
            "address_1": "1701 N Senate Blvd",
            "address_2": "Radiology Dept",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462021239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.