Individual provider Active NPI

Alixandria M. Pelych, PA-C

  • Physician Assistant
  • Carmel, IN
National Provider Identifier
1447664586
Registry record updated Jul 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10001686A Issued in IN
Practice address
13225 N Meridian St
Carmel, IN 46032-5480
Phone
(317) 228-7000
Fax
(317) 228-2321
NPI assigned
Jun 17, 2014
Last updated
Jul 14, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10001686A IN Primary

Addresses

Primary practice location

13225 N Meridian St
Carmel, IN 46032-5480

Mailing address

13225 N Meridian St
Carmel, IN 46032-5480
Phone (317) 228-7000

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140728001808 IN Practitioner - Physician Assistant 2668698622 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Indiana Spine Group, PCGroup PAC ID 4082502349, 49 clinicians

Practice addresses (Care Compare)

13225 N Meridian St
Carmel, IN 46032-5480
Phone (317) 228-7000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana Spine Group, PC Physician Assistant CurrentSince Jun 9, 2014 Accepting new patients
Major Hospital Past Accepting new patients
U.S. Medgroup, P.a. Past Accepting new patients

Locations

5492 N Ronald Reagan Pkwy
#1135
Brownsburg, IN 46112

5492 N Ronald Reagan Pkwy
Ste 1135
Brownsburg, IN 46112
Phone (317) 275-1967

5492 N Ronald Reagan Pkwy
Ste 2125
Brownsburg, IN 46112
Phone (317) 718-9040

13225 N Meridian St
Carmel, IN 46032
Phone (317) 715-4863

112 Hospital Ln
Ste 301
Danville, IN 46122
Phone (317) 718-9028

747 E County Line Rd
Ste L
Greenwood, IN 46143
Phone (317) 893-1960

6920 Gatwick Dr
Ste 220
Indianapolis, IN 46241
Phone (317) 463-9950

821 N Dixon Rd
Kokomo, IN 46901
Phone (765) 450-0111

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1402963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405296000000",
    "number": "1447664586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13225 N MERIDIAN ST",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460325480",
            "telephone_number": "317-228-7000",
            "fax_number": "317-228-2321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13225 N MERIDIAN ST",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460325480",
            "telephone_number": "317-228-7000",
            "fax_number": "317-228-2321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELYCH",
        "first_name": "ALIXANDRIA",
        "middle_name": "M.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-17",
        "last_updated": "2014-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10001686A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.