Active NPI
Michelle M Gombas, D.O.
- Pediatric Critical Care Medicine Physician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- License
- 02005716A
- Practice address
- 2001 W 86TH St
Indianapolis, IN 46260-1902 - Phone
- (317) 338-5237
- Fax
- (317) 338-5233
- NPI assigned
- Apr 5, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Critical Care Medicine Physician | 2080P0203X | 02005716A | IN | Primary |
| Pediatric Critical Care Medicine Physician | 2080P0203X | 1396001194 | NC |
Addresses
Primary practice location
2001 W 86TH St
Indianapolis, IN 46260-1902
Mailing address
2001 W 86TH St
Indianapolis, IN 46260-1902
Phone (317) 338-5237
Other practice location 1
11109 Parkview Plaza Dr
Fort Wayne, IN 46845-1701
Phone (260) 266-5400
Other practice location 2
101 Manning Dr
Chapel Hill, NC 27514-4220
Phone (984) 974-1000
Other practice location 3
2100 Stantonsburg Rd
Greenville, NC 27834-2818
Phone (252) 744-0750
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2005716A | IN | MD | Pediatric Critical Care Medicine Physician |
| 1396001194 | NC | MD | Pediatric Critical Care Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Vincent Pediatric Subspecialties | Current | Accepting new patients | |
| St Vincent Pediatric Subspecialties | Pediatric Critical Care Medicine | Current | Accepting new patients |
Locations
2001 W 86th St
Indianapolis, IN 46260
Phone (317) 338-3617
250 W 96th St
#520
Indianapolis, IN 46260
Phone (317) 583-3331
Organizations & group practices 3
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 1013967736
-
- Family Medicine Physician
- Fort Wayne, IN
- NPI 1932130952
-
- Pediatric Critical Care Medicine Physician
- Evansville, IN
- NPI 1851950224
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784851200000",
"number": "1396001194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 W 86TH ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462601902",
"telephone_number": "317-338-5237",
"fax_number": "317-338-5233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 W 86TH ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462601902",
"telephone_number": "317-338-5237",
"fax_number": "317-338-5233"
}
],
"practiceLocations": [
{
"address_1": "11109 Parkview Plaza Dr",
"address_purpose": "LOCATION",
"city": "Fort Wayne",
"state": "IN",
"postal_code": "468451701",
"country_code": "US",
"telephone_number": "260-266-5400",
"fax_number": "260-425-6745",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "101 Manning Dr",
"address_purpose": "LOCATION",
"city": "Chapel Hill",
"state": "NC",
"postal_code": "275144220",
"country_code": "US",
"telephone_number": "984-974-1000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2100 Stantonsburg Rd",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "NC",
"postal_code": "278342818",
"country_code": "US",
"telephone_number": "252-744-0750",
"fax_number": "252-744-0392",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOMBAS",
"first_name": "MICHELLE",
"middle_name": "M",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-05",
"last_updated": "2026-07-24",
"certification_date": "2026-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "IN",
"license": "02005716A",
"primary": true
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "NC",
"license": "1396001194",
"primary": false
}
],
"identifiers": [],
"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 Jul 24, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.