Individual provider Active NPI

John Scott Pittman, M.D.

  • Colon & Rectal Surgery Physician
  • Carmel, IN
National Provider Identifier
1023013422
Registry record updated Jul 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
01038067A Issued in IN
Practice address
13421 Old Meridian St
Ste 210
Carmel, IN 46032-1411
Phone
(317) 844-5273
Fax
(317) 844-5709
NPI assigned
Jun 14, 2005
Last updated
Jul 24, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X 01038067A IN Primary

Addresses

Primary practice location

13421 Old Meridian St
Ste 210
Carmel, IN 46032-1411

Mailing address

13421 Old Meridian St
Ste 210
Carmel, IN 46032-1411
Phone (317) 844-5273

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100831000389 IN Practitioner - Colorectal Surgery (Proctology)Practitioner - General Surgery 7214820265 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)Also: General Surgery
Education
Indiana University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Colon and Rectal Surgery IncGroup PAC ID 6901870617, 3 clinicians

Practice addresses (Care Compare)

13421 Old Meridian St
Suite 210
Carmel, IN 46032-1411
Phone (317) 844-5273

13421 Old Meridian St
Suite 210
Carmel, IN 46032-1427

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy71
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01038067AINMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Major Hospital Past Accepting new patients

Organizations & group practices 2

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 3

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": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185235200000",
    "number": "1023013422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13421 OLD MERIDIAN ST",
            "address_2": "STE 210",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460321411",
            "telephone_number": "317-844-5273",
            "fax_number": "317-844-5709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13421 OLD MERIDIAN ST",
            "address_2": "STE 210",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460321411",
            "telephone_number": "317-844-5273",
            "fax_number": "317-844-5709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTMAN",
        "first_name": "JOHN",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-14",
        "last_updated": "2007-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "IN",
            "license": "01038067A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.