NPIMap

Individual provider Active NPI

Corinna Repetto, MD

  • Emergency Medicine Physician
  • Bloomington, IN
National Provider Identifier
1265534986
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
01037634A Issued in IN
Practice address
601 W 2ND St
Bloomington, IN 47403-2317
Phone
(812) 353-6821
NPI assigned
Sep 2, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 01037634A IN Primary

Addresses

Primary practice location

601 W 2ND St
Bloomington, IN 47403-2317

Mailing address

1155 W 3Rd St
Bloomington, IN 47404-5016
Phone (812) 336-1690

Other identifiers 3

IdentifierTypeStateIssuer
01037634AOtherININ LICENSE
01037634BOtherCSR
200163730MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080708000320 IN Practitioner - Emergency MedicinePractitioner - Internal Medicine 0042382095 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Internal Medicine
Education
Rutgers New Jersey Medical School, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iu Health Medical Group LLCGroup PAC ID 9638617913, 4,382 clinicians

Practice addresses (Care Compare)

2900 16TH St
Bedford, IN 47421-3510
Phone (888) 484-3258

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana University Health Southern Indiana Physicians, LLC Emergency Medicine CurrentSince Jan 1, 2012 Accepting new patients
Indiana University Health Southern Indiana Physicians LLC CurrentSince Jan 1, 2012 Accepting new patients
Iu Health Medical Group, LLC CurrentSince Jan 1, 2026 Accepting new patients
Indiana University Health Paoli Inc Past Accepting new patients

Locations

2900 16th St
Bedford, IN 47421
Phone (812) 275-1200

601 W 2nd St
Bloomington, IN 47403
Phone (812) 353-5252

727 W 2nd St
Bloomington, IN 47403
Phone (812) 353-3450

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

2209 John R Wooden Dr
Martinsville, IN 46151
Phone (765) 342-3364

642 W Hospital Rd
Paoli, IN 47454
Phone (812) 723-2811

Interoperability endpoints

  • Direct secure messaging: crepetto@yourcarecommunity.org

Ownership & related parties

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Indiana University Health Paoli HospitalPaoli, IN, CCN 151306 Hospital Corporate Director Jan 1, 2021
Indiana University Health Paoli HospitalPaoli, IN, CCN 15Z306 Hospital Corporate Director Jan 1, 2021
Iu Health Bloomington HospitalBloomington, IN, CCN 150051 Hospital Corporate Director Jan 1, 2021
Indiana University Health Bedford HospitalBedford, IN, CCN 151328 Hospital Corporate Director Jan 1, 2021
Indiana University Health Bedford HospitalBedford, IN, CCN 15Z328 Hospital Corporate Director Jan 1, 2021
Iu Health Paoli Family and Internal MedicinePaoli, IN, CCN 158557 Rural health clinic Corporate Director Jan 1, 2021

Owned or controlled facilities with NPI records 7

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 5

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": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1265534986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 W 3RD ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474045016",
            "telephone_number": "812-336-1690",
            "fax_number": "812-349-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W 2ND ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474032317",
            "telephone_number": "812-353-6821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REPETTO",
        "first_name": "CORINNA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-02",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01037634A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IN LICENSE",
            "identifier": "01037634A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSR",
            "identifier": "01037634B",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200163730",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IN

Sources for this page

Verify at the official NPI Registry.