Individual provider Active NPI

Robert Alan Ortmann, MD

  • Rheumatology Physician
  • Indianapolis, IN
National Provider Identifier
1215987185
Registry record updated Aug 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
01072827A Issued in IN
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

Updated by the provider on Aug 5, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
167965001MedicaidAR
P00415665OtherMORAILROAD MEDICARE
205295900MedicaidMO
E-5590OtherARARKANSAS MEDICAL LICENSE
660003367OtherMORR 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

LicenseStateTypeSpecialty
E-5590ARMDRheumatology Physician
01072827AINMDRheumatology Physician
2001005641MOMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Virginia Physicians Group PastSince Jun 19, 1995 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.

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.

Verify at the official NPI Registry.