Individual provider Active NPI

Kristopher David Rogers, MD

  • Pain Medicine (Anesthesiology) Physician
  • Westfield, IN
National Provider Identifier
1447710512
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
01089752A Issued in IN
Practice address
17600 Shamrock Blvd
Westfield, IN 46074-7002
Phone
(317) 214-5450
Fax
(317) 214-5451
NPI assigned
Mar 23, 2019
Last updated
Sep 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 01089752A IN Primary

Addresses

Primary practice location

17600 Shamrock Blvd
Westfield, IN 46074-7002

Mailing address

395 Westfield Rd
Noblesville, IN 46060-1434
Phone (317) 773-0760

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240717000115 IN Practitioner - Pain ManagementPractitioner - Anesthesiology 0941532014 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
Indiana University School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverview HospitalGroup PAC ID 1153216627, 209 clinicians

Practice addresses (Care Compare)

17600 Shamrock Blvd
Westfield, IN 46074-7002
Phone (317) 773-0760

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01089752AINMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Loyola University Medical Center Current Accepting new patients
Riverview Hospital Pain Medicine CurrentSince Aug 1, 2024 Accepting new patients
Riverview Hospital CurrentSince Aug 1, 2024 Accepting new patients

Locations

395 Westfield Rd
Noblesville, IN 46060
Phone (317) 218-3136

17600 Shamrock Blvd
Westfield, IN 46074
Phone (317) 214-5555

17600 Shamrock Blvd
Ste 300B
Westfield, IN 46074

Interoperability endpoints

  • Direct secure messaging: krogers162284@direct.luhs.org
  • Direct secure messaging: krogers18676@uihealth.direct-ci.com

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 1

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": "1553299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1447710512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 WESTFIELD RD",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460601434",
            "telephone_number": "317-773-0760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17600 SHAMROCK BLVD",
            "city": "WESTFIELD",
            "state": "IN",
            "postal_code": "460747002",
            "telephone_number": "317-214-5450",
            "fax_number": "317-214-5451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "KRISTOPHER",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-23",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "IN",
            "license": "01089752A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westfield, IN

Sources for this page

Verify at the official NPI Registry.