Active NPI
Paul Joseph Niziolek, M.D., PH.D.
- Diagnostic Radiology Physician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 01079852A
- Practice address
- 714 N Senate Ave Ste 100
Indianapolis, IN 46202 - Phone
- (317) 963-0156
- NPI assigned
- Mar 21, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 01079852A | IN | Primary |
Addresses
Primary practice location
714 N Senate Ave Ste 100
Indianapolis, IN 46202
Mailing address
250 N Shadeland Ave
Indianapolis, IN 46219-4959
Other practice location 1
550 University Blvd
Indianapolis, IN 46202-5149
Phone (317) 944-4600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300014345 | Medicaid | IN | |
| 959090071 | Other | IN | MEDICARE |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pniziolek@direct.iuhealth.org | ||
| Direct Messaging Address | pniziolek@direct.iuhealth.org | Direct |
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 |
|---|---|---|---|---|
| I20180611002715 | IN | Practitioner - Diagnostic Radiology | 3678862851 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Indiana University School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Indiana University Radiology Associates IncIu Health Medical Group LLC
Practice addresses (Care Compare)
1000 S Main St
Tipton, IN 46072-9753
Phone (765) 675-8538
10212 Lantern Rd
Fishers, IN 46037-9705
Phone (317) 841-5656
1111 Ronald Reagan Pkwy
Avon, IN 46123-7085
Phone (317) 963-0166
11725 N Illinois St
Suite 275
Carmel, IN 46032-4656
Phone (317) 817-1114
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258
201 Pennsylvania Pkwy
Carmel, IN 46280-2301
Phone (317) 944-9400
2401 W University Ave
Muncie, IN 47303-3428
Phone (765) 747-4274
2598 W White River Blvd
The Imaging Center
Muncie, IN 47303-5251
Phone (765) 282-7595
2605 E Creeks Edge Dr
Bloomington, IN 47401-8368
Phone (812) 333-1933
2651 E Discovery Pkwy
Bloomington, IN 47408-9059
Phone (812) 353-9356
355 W 16TH St
Indianapolis, IN 46202-2207
Phone (317) 963-1300
500 S Landmark Ave
Bloomington, IN 47403-3239
Phone (812) 333-7676
550 N University Blvd Room
Suite 0663
Indianapolis, IN 46202-5149
550 S Landmark Ave
Bloomington, IN 47403-3239
Phone (812) 353-2108
550 University Blvd
Indianapolis, IN 46202-5149
Phone (317) 948-7569
720 Eskeanzi Ave
Indianapolis, IN 46202-5166
Phone (317) 880-7360
8830 S Meridian St
Indianapolis, IN 46217-5029
Phone (317) 865-6675
Hospital & facility affiliations
- Indiana University Health
- Eskenazi Health
- Indiana University Health Bloomington Hospital
- Indiana University Health Ball Memorial Hospital
- Iu Health West Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01079852A | IN | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Health and Hospital Corporation of Marion County | Current | Accepting new patients | |
| Iu Health Medical Group, LLC | Current | Accepting new patients | |
| The Health and Hospital Corporation of Marion County | Current | Accepting new patients | |
| Indiana University Radiology Associates, Inc. | Diagnostic Radiology | Current | Accepting new patients |
Locations
5924 Reliable Pkwy
Chicago, IL 60686
6002 E 38th St
Ste 1400
Indianapolis, IN 46226
Phone (317) 880-1466
1701 Senate Blvd
#C6
Indianapolis, IN 46202
Phone (317) 962-9000
250 N Shadeland Ave
Ste 200
Indianapolis, IN 46219
Phone (317) 962-4836
5515 W 38th St
Ste 1300
Indianapolis, IN 46254
Phone (317) 880-0240
550 University Blvd
Indianapolis, IN 46202
Phone (217) 274-5000
714 N Senate Ave
Ste 100
Indianapolis, IN 46202
Phone (317) 715-6402
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
Interoperability endpoints
- pniziolek49555@direct.eskenazihealth.edu
- pniziolek@direct.iuhealth.org
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 and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Indianapolis, IN
- NPI 1336192665
Diagnostic Radiology, IN
-
- Physiological Laboratory
- Indianapolis, IN
- NPI 1396500922
-
- Physiological Laboratory
- Indianapolis, IN
- NPI 1750053617
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Avon, IN
- NPI 1063443455
Hospital
-
- General Acute Care Hospital
- Muncie, IN
- NPI 1225195340
Hospital
-
- General Acute Care Hospital
- Bloomington, IN
- NPI 1205860335
Hospital
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1568407310
Hospital
-
- Methadone Clinic
- Indianapolis, IN
- NPI 1760922249
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671408000000",
"number": "1386919488",
"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": "714 N SENATE AVE STE 100",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "46202",
"telephone_number": "317-963-0156"
}
],
"practiceLocations": [
{
"address_1": "550 University Blvd",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462025149",
"country_code": "US",
"telephone_number": "317-944-4600",
"fax_number": "317-948-7055",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NIZIOLEK",
"first_name": "PAUL",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "M.D., PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-03-21",
"last_updated": "2022-12-19",
"certification_date": "2022-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IN",
"license": "01079852A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300014345",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "959090071",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pniziolek@direct.iuhealth.org",
"affiliation": "N",
"address_1": "714 N Senate Ave Ste 100",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "46202",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pniziolek@direct.iuhealth.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "550 University Blvd",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462025149",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Dec 19, 2022; 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.