Active NPI
Charles Edward Rollison, DO
- Obstetrics & Gynecology Physician
- Carmel, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 5101012731
- Practice address
- 11725 Illinois St
Carmel, IN 46032-3008 - Phone
- (317) 249-2703
- NPI assigned
- Jun 16, 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 02003774A | IN | |
| Obstetrics & Gynecology Physician | 207V00000X | 5101012731 | MI | Primary |
| Obstetrics & Gynecology Physician | 207V00000X | 92318 | MT |
Addresses
Primary practice location
11725 Illinois St
Carmel, IN 46032-3008
Mailing address
250 N Shadeland Ave
Indianapolis, IN 46219-4959
Other practice location 1
1101 26th St S
Great Falls, MT 59405-5161
Phone (406) 731-8017
Other practice location 2
500 Campus Drive
Suite 3
Hancock, MI 49930-1569
Phone (906) 483-1050
Other identifiers 16
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 382626196 | Other | MI | TRICARE HEALTH NET |
| 4684825 | Medicaid | MI | |
| 0P10950 | Other | MA | TRAVELERS |
| H76548 | Other | MI | HEALTH ALLIANCE PLAN |
| 7662412 | Other | MI | AETNA |
| 0C16002133 | Other | MI | MEDICARE PTAN |
| 382626196 | Other | MI | PPOM |
| 0649513 | Other | MI | CIGNA |
| 0C16002 | Other | MI | MEDICARE GROUP PTAN |
| 160B511630 | Other | MI | BLUE CARE NETWORK |
| 1652510814 | Other | MI | BLUE CROSS BLUE SHIELD |
| CR012731 | Other | MI | BLUE CARE NETWORK |
| 0999854 | Other | MI | HEALTH PLUS OF MICHIGAN |
| 4684825 | Other | MI | MOLINA HEALTH CARE |
| CR012731 | Other | MI | BLUE CROSS BLUE SHIELD |
| 16814 | Other | MI | MCARE |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | crollison@direct.iuhealth.org | Direct | |
| Direct Messaging Address | charles.rollison.p1@direct.benefisbmg.nextgenshare.com | Benefis Hospitals Inc |
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
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Michigan State University College of Osteopathic Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02003774A | IN | MD | Obstetrics & Gynecology Physician |
| 92318 | MT | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iu Health Medical Group, LLC | Current | Accepting new patients | |
| Methodist Medical Group Physicians Inc | Past | Accepting new patients | |
| Joseph a. Kingsbury, D.O.,PC | Obstetrics & Gynecology | Past | Accepting new patients |
| Obhg Michigan - Direct PC | Obstetrics & Gynecology | Past | Accepting new patients |
| KMG Medical Group Mo, P.C. | Past | Accepting new patients |
Locations
1111 Ronald Reagan Pkwy
#C1400
Avon, IN 46123
Phone (317) 217-2500
11725 Illinois St
Carmel, IN 46032
Phone (317) 617-4808
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
1801 Senate Blvd
Ste 210
Indianapolis, IN 46202
Phone (317) 929-3900
Interoperability endpoints
- crollison462661@direct.hfhs.org
Organizations & group practices 5
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.
-
- General Practice Physician
- Indianapolis, IN
- NPI 1326893777
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1285673616
-
- Obstetrics & Gynecology Physician
- Grand Blanc, MI
- NPI 1427099886
-
- Family Medicine Physician
- Lexington, KY
- NPI 1730844085
-
- Obstetrics & Gynecology Physician
- Marshall, MI
- NPI 1164116570
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1144266024
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772064000000",
"number": "1356386387",
"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": "11725 ILLINOIS ST",
"city": "CARMEL",
"state": "IN",
"postal_code": "460323008",
"telephone_number": "317-249-2703"
}
],
"practiceLocations": [
{
"address_1": "1101 26th St S",
"address_purpose": "LOCATION",
"city": "Great Falls",
"state": "MT",
"postal_code": "594055161",
"country_code": "US",
"telephone_number": "406-731-8017",
"fax_number": "406-731-8001",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "500 Campus Drive",
"address_2": "Suite 3",
"address_purpose": "LOCATION",
"city": "Hancock",
"state": "MI",
"postal_code": "499301569",
"country_code": "US",
"telephone_number": "906-483-1050",
"fax_number": "906-483-1270",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROLLISON",
"first_name": "CHARLES",
"middle_name": "EDWARD",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-16",
"last_updated": "2026-02-26",
"certification_date": "2026-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "IN",
"license": "02003774A",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MI",
"license": "5101012731",
"primary": true
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MT",
"license": "92318",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE HEALTH NET",
"identifier": "382626196",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4684825",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRAVELERS",
"identifier": "0P10950",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ALLIANCE PLAN",
"identifier": "H76548",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7662412",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "0C16002133",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PPOM",
"identifier": "382626196",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0649513",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP PTAN",
"identifier": "0C16002",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE NETWORK",
"identifier": "160B511630",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "1652510814",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE NETWORK",
"identifier": "CR012731",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PLUS OF MICHIGAN",
"identifier": "0999854",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOLINA HEALTH CARE",
"identifier": "4684825",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "CR012731",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCARE",
"identifier": "16814",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "crollison@direct.iuhealth.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "11725 Illinois St",
"city": "Carmel",
"state": "IN",
"country_code": "US",
"postal_code": "460323008",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "charles.rollison.p1@direct.benefisbmg.nextgenshare.com",
"affiliation": "Y",
"affiliationName": "Benefis Hospitals Inc",
"address_1": "1101 26th St S",
"city": "Great Falls",
"state": "MT",
"country_code": "US",
"postal_code": "594055161",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Carmel, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.