Caitlin A Beasley, MD
Individual provider Active NPI Pediatrics Physician · Indianapolis, IN
NPI 1417319930 · NPPES record last updated Jun 22, 2026
Key facts
- NPI
- 1417319930
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 01081901A (IN)
- Practice address
- 1801 N Senate Blvd Ste 310
Indianapolis, IN 46202-1196 - Phone
- (317) 957-2233
- NPI assigned
- Mar 23, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221109002419 | IN | Practitioner - Pediatric Medicine | 4981071669 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01081901A | IN | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthnet, Inc. | Current |
Accepting new patients | |
| Witham Memorial Hospital | Past |
Accepting new patients | |
| Witham Memorial Hospital | Past |
Accepting new patients | |
| Witham Memorial Hospital | Past | Accepting new patients |
Locations
3401 E Raymond St
Indianapolis, IN 46203
Phone (317) 788-9769
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
1801 Senate Blvd
Ste 310
Indianapolis, IN 46202
Phone (317) 957-2070
3908 Meadows Dr
Ste C
Indianapolis, IN 46205
3403 E Raymond St
Indianapolis, IN 46203
Phone (317) 957-2000
3401 E Raymond St
#0
Indianapolis, IN 46203
2855 N Keystone Ave
Ste 130
Indianapolis, IN 46218
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 01081901A | IN | Yes |
Addresses
Primary practice location
1801 N Senate Blvd Ste 310
Indianapolis, IN 46202-1196
Mailing address
3908 Meadows Dr Ste C
Indianapolis, IN 46205-3114
Phone (317) 957-2000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300026891 | Medicaid | IN |
Other names
- Caitlin A Canal
Other providers in Indianapolis, IN
- Samuel Mackay Beard
- Taylor Beard
- Christopher M Bearden
- Marcy Bearden
- Julio Renato Beas Nino de Guzman
- Charles Merritt Beasley Jr.
- Gabrielle Alexis Beasley
- Monica Beasley
- Regina Beasley
- Tania Narissa Beasley
All providers in Indianapolis, IN · Pediatrics Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 22, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.