Active NPI
Robert Alan Ortmann, MD
- Rheumatology Physician
- Indianapolis, IN
National Provider Identifier
1215987185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 01072827A
- Practice address
- Lilly Corporate Ctr
DC 1940
Indianapolis, IN 46285-0001 - Phone
- (317) 433-2779
- NPI assigned
- May 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 2001005641 | MO | |
| Rheumatology Physician | 207RR0500X | E-5590 | AR | |
| Rheumatology Physician | 207RR0500X | 01072827A | IN | Primary |
Addresses
Primary practice location
Lilly Corporate Ctr
DC 1940
Indianapolis, IN 46285-0001
Mailing address
Lilly Corporate Ctr
DC 1940
Indianapolis, IN 46285-0001
Phone (317) 433-2779
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 167965001 | Medicaid | AR | |
| P00415665 | Other | MO | RAILROAD MEDICARE |
| 205295900 | Medicaid | MO | |
| E-5590 | Other | AR | ARKANSAS MEDICAL LICENSE |
| 660003367 | Other | MO | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-5590 | AR | MD | Rheumatology Physician |
| 01072827A | IN | MD | Rheumatology Physician |
| 2001005641 | MO | MD | Rheumatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Virginia Physicians Group | Past | Accepting new patients |
Organizations & group practices 1
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375660800000",
"number": "1215987185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "LILLY CORPORATE CTR",
"address_2": "DC 1940",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462850001",
"telephone_number": "317-433-2779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "LILLY CORPORATE CTR",
"address_2": "DC 1940",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462850001",
"telephone_number": "317-433-2779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTMANN",
"first_name": "ROBERT",
"middle_name": "ALAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-11",
"last_updated": "2013-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "MO",
"license": "2001005641",
"primary": false
},
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "AR",
"license": "E-5590",
"primary": false
},
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "IN",
"license": "01072827A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "167965001",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00415665",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "205295900",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARKANSAS MEDICAL LICENSE",
"identifier": "E-5590",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "660003367",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.