Individual provider Active NPI

Lance A Rettig, MD

  • Orthopaedic Hand Surgery Physician
  • Carmel, IN
National Provider Identifier
1205889276
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
01051568A Issued in IN
Practice address
10767 Illinois St Ste 3000
Carmel, IN 46032-8972
Phone
(317) 817-1200
Fax
(317) 817-1220
NPI assigned
May 18, 2006
Last updated
Jun 8, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 01051568A IN
Orthopaedic Hand Surgery Physician 207XS0106X 01051568A IN Primary

Addresses

Primary practice location

10767 Illinois St Ste 3000
Carmel, IN 46032-8972

Mailing address

10767 Illinois St Ste 3000
Carmel, IN 46032-8972
Phone (317) 817-1200

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
I20070917000437 IN Practitioner - Hand SurgeryPractitioner - Orthopedic Surgery 2769576198 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hand SurgeryAlso: Orthopedic Surgery
Education
Indiana University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reconstructive Hand to Shoulder of Indiana LLCGroup PAC ID 7719088806, 8 clinicians

Practice addresses (Care Compare)

10767 Illinois St
Carmel, IN 46032-8972
Phone (317) 817-1200

13431 Old Meridian St
Suite 225
Carmel, IN 46032-1417
Phone (317) 249-2616

1401 W County Line Rd
Methodist Sports Medicine
Greenwood, IN 46142-5195
Phone (317) 817-1200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Melanoma (skin cancer) excision1-10
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Reconstructive Hand to Shoulder of Indiana LLC Hand Surgery CurrentSince Sep 1, 2007 Accepting new patients
Thomas a Brady Sports Medicine Center, PC Orthopaedic Surgery CurrentSince Aug 1, 2003 Accepting new patients
Thomas a Brady Sports Medicine Center, PC Orthopaedic Surgery CurrentSince Aug 1, 2003 Accepting new patients
Major Hospital Past Accepting new patients

Locations

10767 Illinois St
Ste 3000
Carmel, IN 46032
Phone (317) 708-6858

13421 Old Meridian St
Ste 200
Carmel, IN 46032
Phone (317) 243-3000

13431 Old Meridian St
Ste 225
Carmel, IN 46032
Phone (317) 249-2616

201 Pennsylvania Pkwy
Ste 100
Carmel, IN 46280
Phone (317) 817-1636

1401 W County Line Rd
Greenwood, IN 46142
Phone (317) 217-1200

Interoperability endpoints

  • Direct secure messaging: lrettig401733@direct.franciscanalliance.org

Organizations & group practices 4

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 1

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1205889276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10767 ILLINOIS ST STE 3000",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460328972",
            "telephone_number": "317-817-1200",
            "fax_number": "317-817-1220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10767 ILLINOIS ST STE 3000",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460328972",
            "telephone_number": "317-817-1200",
            "fax_number": "317-817-1220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RETTIG",
        "first_name": "LANCE",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IN",
            "license": "01051568A",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "IN",
            "license": "01051568A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.