Individual provider Active NPI

Tyler Trabel, PA-C

  • Physician Assistant
  • Indianapolis, IN
National Provider Identifier
1154891133
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10002635A Issued in IN
Practice address
3400 Lafayette Rd Ste 200
Indianapolis, IN 46222-1147
Phone
(317) 291-7422
Fax
(317) 291-7433
NPI assigned
Dec 3, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10002635A IN Primary

Addresses

Primary practice location

3400 Lafayette Rd Ste 200
Indianapolis, IN 46222-1147

Mailing address

1503 N Mitthoefer Rd
Indianapolis, IN 46229-2425
Phone (317) 934-0755

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181214001005 IN Practitioner - Physician Assistant 4587909809 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jane Pauley Community Health Center IncGroup PAC ID 7618152729, 77 clinicians
Shalom Health Care Center IncGroup PAC ID 3779471750, 5 clinicians

Practice addresses (Care Compare)

1503 N Mitthoefer Rd
Indianapolis, IN 46229-2425

153 N Mitthoefer Rd
Indianapolis, IN 46229-2425

3400 Lafayette Rd
Suite 200
Indianapolis, IN 46222-1147
Phone (317) 291-7422

5317 E 16TH St
CHC at 16TH St
Indianapolis, IN 46218-4897
Phone (765) 291-5815

8931 E 30TH St
Indianapolis, IN 46219-1501
Phone (463) 232-7183

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
10002635AINMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Shalom Health Care Center, Inc. Physician Assistant CurrentSince Sep 10, 2021 Accepting new patients
Shalom Health Care Center, Inc. CurrentSince Sep 10, 2021 Accepting new patients
Jane Pauley Community Health Center Current Accepting new patients
Shalom Health Care Center, Inc. Physician Assistant Past Accepting new patients

Locations

5750 W 56th St
Indianapolis, IN 46254
Phone (317) 291-1411

3400 Lafayette Rd
Ste 200
Indianapolis, IN 46222
Phone (317) 829-5747

5801 E 30th St
#99
Indianapolis, IN 46218
Phone (317) 226-4299

9240 N Meridian St
Ste 180
Indianapolis, IN 46260
Phone (317) 582-1100

3400 Lafayette Rd
Indianapolis, IN 46222
Phone (317) 293-4113

Interoperability endpoints

  • Direct secure messaging: tyler.trabel@shalomhcc.eclinicaldirectplus.com
  • Direct secure messaging: ttrabel824948@direct.ochin.org

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1543795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1154891133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 N MITTHOEFER RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462292425",
            "telephone_number": "317-934-0755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 LAFAYETTE RD STE 200",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462221147",
            "telephone_number": "317-291-7422",
            "fax_number": "317-291-7433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRABEL",
        "first_name": "TYLER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-03",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10002635A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.