Individual provider Active NPI

Glenn Mitra Batiller, MD

  • Anesthesiology Physician
  • Lafayette, IN
National Provider Identifier
1346212487
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
01059881A Issued in IN
Practice address
5165 McCarty LN
Lafayette, IN 47905-8764
Phone
(765) 448-8000
Fax
(765) 838-4758
NPI assigned
Feb 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 15892 OK
Anesthesiology Physician 207L00000X 036084852 IL
Anesthesiology Physician 207L00000X 01059881A IN Primary

Addresses

Primary practice location

5165 McCarty LN
Lafayette, IN 47905-8764

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other practice location 1

25 N Winfield Rd
Winfield, IL 60190-1379
Phone (630) 933-6675

Other practice location 2

1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (317) 274-0275

Other practice location 3

151 Pennsylvania Pkwy
Carmel, IN 46280-1379
Phone (317) 732-0050

Other practice location 4

920 Stanton L Young Blvd
Oklahoma City, OK 73104-5036
Phone (405) 271-4351

Other practice location 5

11518 Tillbury Cv
Fort Wayne, IN 46845-2138
Phone (260) 338-1660

Other identifiers 4

IdentifierTypeStateIssuer
200811400MedicaidIN
1102030385OtherINANTHEM PTAN
000001664742OtherINANTHEM PTAN
Q00773297OtherINRAILROAD PTAN

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address gbatiller@direct.iuhealth.org Direct
Direct Messaging Address gbatiller@direct.iuhealth.org Direct
Direct Messaging Address gbatiller@direct.iuhealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20040120000411 IL Practitioner - Anesthesiology 9830099118 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
95.19 of 100Reported as apm
Quality
83.05
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Anesthesiologists, S.C. Anesthesiology CurrentSince May 15, 2023 Accepting new patients
Arnett Clinic, LLC Anesthesiology CurrentSince Nov 18, 2024 Accepting new patients
St. Mary'S Hospital, Centralia, Illinois Current Accepting new patients
Associated Anesthesiologists, SC Anesthesiology CurrentSince May 15, 2023 Accepting new patients
Indiana University Health Care Associates, Inc CurrentSince Aug 1, 2022 Accepting new patients
Iu Anesthesiology Associates, LLC Anesthesiology CurrentSince May 1, 2023 Accepting new patients
St. Mary'S Hospital, Centralia, Illinois Anesthesiology CurrentSince Jul 3, 2018 Accepting new patients
Arnett Clinic, LLC Current Accepting new patients
St Bernard Hospital & Health Care Center CurrentSince Aug 5, 2022 Accepting new patients
Arnett Clinic, LLC CurrentSince Nov 18, 2024 Accepting new patients
North American Partners in Anesthesia (Illinois), LLC Anesthesiology CurrentSince Nov 30, 2019 Accepting new patients
St. Mary'S Hospital, Centralia, Illinois CurrentSince Jul 3, 2018 Accepting new patients
St Bernard Hospital Anesthesiology CurrentSince Aug 5, 2022 Accepting new patients
Northern Anesthesia Providers, LLC Anesthesiology Past Accepting new patients
University Medical Diagnostic Associates, Inc. Past Accepting new patients

Locations

3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696

400 N Pleasant Ave
Centralia, IL 62801
Phone (618) 436-5221

326 W 64th St
Chicago, IL 60621
Phone (773) 962-3900

8016 Reliable Pkwy
Chicago, IL 60686

5208 Reliable Pkwy
Chicago, IL 60686

7420 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-3155

77 N Airlite St
Elgin, IL 60123
Phone (847) 622-3407

333 Madison St
Joliet, IL 60435
Phone (815) 725-7222

350 N Wall St
Kankakee, IL 60901
Phone (815) 935-7500

6742 N Frostwood Pkwy
Peoria, IL 61615
Phone (309) 692-5393

530neglen Oak Ave
Peoria, IL 61637
Phone (309) 692-5393

151 Pennsylvania Pkwy
Carmel, IN 46280
Phone (317) 817-1100

7950 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 434-7088

1130 W Michigan St
Indianapolis, IN 46202
Phone (317) 274-0076

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

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

1701 N Senate Blvd
Bldg C6
Indianapolis, IN 46202
Phone (913) 962-2000

5165 McCarty Ln
Lafayette, IN 47905
Phone (800) 899-8448

2600 Greenbush St
Lafayette, IN 47904

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1346212487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5165 MCCARTY LN",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479058764",
            "telephone_number": "765-448-8000",
            "fax_number": "765-838-4758"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 N Winfield Rd",
            "address_purpose": "LOCATION",
            "city": "Winfield",
            "state": "IL",
            "postal_code": "601901379",
            "country_code": "US",
            "telephone_number": "630-933-6675",
            "fax_number": "630-933-2614",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1701 N Senate Blvd",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462021239",
            "country_code": "US",
            "telephone_number": "317-274-0275",
            "fax_number": "317-274-0256",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "151 Pennsylvania Pkwy",
            "address_purpose": "LOCATION",
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            "state": "IN",
            "postal_code": "462801379",
            "country_code": "US",
            "telephone_number": "317-732-0050",
            "fax_number": "317-732-0050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "920 Stanton L Young Blvd",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731045036",
            "country_code": "US",
            "telephone_number": "405-271-4351",
            "fax_number": "405-271-8695",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11518 Tillbury Cv",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468452138",
            "country_code": "US",
            "telephone_number": "260-338-1660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BATILLER",
        "first_name": "GLENN",
        "middle_name": "MITRA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-03",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OK",
            "license": "15892",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036084852",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "01059881A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200811400",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PTAN",
            "identifier": "1102030385",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PTAN",
            "identifier": "000001664742",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD PTAN",
            "identifier": "Q00773297",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gbatiller@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "151 Pennsylvania Pkwy",
            "city": "Carmel",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462801379",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gbatiller@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1701 N Senate Blvd",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462021239",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gbatiller@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5165 McCarty Ln",
            "city": "Lafayette",
            "state": "IN",
            "country_code": "US",
            "postal_code": "479058764",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lafayette, IN

Sources for this page

Verify at the official NPI Registry.