Active NPI
Adnan Bhutta, MD
- Pediatric Critical Care Medicine Physician
- Indianapolis, IN
National Provider Identifier
1295825792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- License
- 01087933A
- Practice address
- 705 Riley Hospital Dr
Indianapolis, IN 46202-5109 - Phone
- (317) 777-6435
- Fax
- (410) 328-0680
- NPI assigned
- Oct 13, 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Anesthesiology) Physician | 207LC0200X | 01087933A | IN | |
| Pediatric Critical Care Medicine Physician | 2080P0203X | E-3101 | AR | |
| Pediatric Critical Care Medicine Physician | 2080P0203X | 01087933A | IN | Primary |
| Pediatrics Physician | 208000000X | D77033 | MD | |
| Pediatric Critical Care Medicine Physician | 2080P0203X | D77033 | MD |
Addresses
Primary practice location
705 Riley Hospital Dr
Indianapolis, IN 46202-5109
Mailing address
PO Box 719094
Chicago, IL 60677-9318
Phone (317) 777-6435
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 148565001 | Medicaid | AR |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230414000225 | IN | Practitioner - Pediatric Medicine | 0446356570 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Iu Health Medical Group Riley Specialists LLC
Practice addresses (Care Compare)
705 Riley Hospital Dr
Indianapolis, IN 46202-5109
Phone (888) 484-3258
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01087933A | IN | MD | Critical Care Medicine (Anesthesiology) Physician |
| D77033 | MD | MD | Pediatrics Physician |
| E-3101 | AR | MD | Pediatric Critical Care Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iu Health Medical Group Riley Specialists, LLC | Pediatrics | Current | Accepting new patients |
Locations
705 Riley Hospital Dr
Indianapolis, IN 46202
Phone (317) 274-4779
705 Riley Hospital Dr
Ste 1721
Indianapolis, IN 46202
Phone (317) 944-5611
Interoperability endpoints
- abhutta@direct.iuhealth.org
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.
-
- Pediatrics Physician
- Indianapolis, IN
- NPI 1699561480
IN, Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770940800000",
"number": "1295825792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 719094",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606779318",
"telephone_number": "317-777-6435",
"fax_number": "317-777-6644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 RILEY HOSPITAL DR",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462025109",
"telephone_number": "317-777-6435",
"fax_number": "410-328-0680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BHUTTA",
"first_name": "ADNAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-13",
"last_updated": "2026-02-13",
"certification_date": "2026-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "207LC0200X",
"taxonomy_group": "",
"desc": "Anesthesiology, Critical Care Medicine",
"state": "IN",
"license": "01087933A",
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "AR",
"license": "E-3101",
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "IN",
"license": "01087933A",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MD",
"license": "D77033",
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "MD",
"license": "D77033",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "148565001",
"state": "AR"
}
],
"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 Feb 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.