Individual provider Active NPI

Antonio Carrelli, MD, MEDICAL DIRECTOR

  • Anesthesiology Physician
  • Indianapolis, IN
National Provider Identifier
1144202292
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
01034546 Issued in IN
Practice address
927 N Pennsylvania St
Indianapolis, IN 46204-1020
Phone
(317) 686-9779
Fax
(317) 686-5810
NPI assigned
Nov 15, 2005
Last updated
Sep 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 01034546 IN Primary

Addresses

Primary practice location

927 N Pennsylvania St
Indianapolis, IN 46204-1020

Mailing address

4478 Haven CT
Zionsville, IN 46077-9217
Phone (866) 282-7905

Other identifiers 1

IdentifierTypeStateIssuer
100106520MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080822000497 IN Practitioner - Anesthesiology 3779488879 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01034546INMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Volunteers of America of Indiana, Inc Addiction (Substance Use Disorder) CurrentSince Dec 24, 2017 Accepting new patients
Volunteers of America of Indiana, Inc Addiction (Substance Use Disorder) Past Accepting new patients

Locations

1351 W Buena Vista Rd
Evansville, IN 47710
Phone (812) 248-8100

1435 S Mickley Ave
#3
Indianapolis, IN 46241

611 N Capitol Ave
Indianapolis, IN 46204
Phone (317) 686-9841

927 N Pennsylvania St
Indianapolis, IN 46204
Phone (317) 686-5800

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.

NPI Registry JSON

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1144202292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4478 HAVEN CT",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "460779217",
            "telephone_number": "866-282-7905",
            "fax_number": "800-731-0751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 N PENNSYLVANIA ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462041020",
            "telephone_number": "317-686-9779",
            "fax_number": "317-686-5810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRELLI",
        "first_name": "ANTONIO",
        "credential": "MD, MEDICAL DIRECTOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-15",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "01034546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100106520",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.