Individual provider Active NPI

Daniel Gustav Pino, M.D.

  • Pediatrics Physician
  • Indianapolis, IN
National Provider Identifier
1457677403
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
01074280A Issued in IN
Practice address
5515 W 38TH St
Indianapolis, IN 46254-2995
Phone
(317) 880-3838
NPI assigned
Apr 15, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 01074280A IN Primary
Internal Medicine Physician 207R00000X 01074280A IN

Addresses

Primary practice location

5515 W 38TH St
Indianapolis, IN 46254-2995

Mailing address

PO Box 637764
Cincinnati, OH 45263-7764
Phone (317) 880-3939

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dpino13874@direct.eskenazihealth.edu

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
I20140829000796 IN Practitioner - Internal MedicinePractitioner - Pediatric Medicine 5395985477 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
University of Texas Medical Branch at Galveston, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eskenazi Medical Group IncGroup PAC ID 4284546813, 134 clinicians
The Health and Hospital Corporation of Marion CountyGroup PAC ID 6709795974, 239 clinicians

Practice addresses (Care Compare)

640 Eskenazi Ave
Indianapolis, IN 46202-5173

720 Eskeanzi Ave
Indianapolis, IN 46202-5166
Phone (317) 880-0000

720 Eskenazi Ave FL
5 OB/GYN Clinic
Indianapolis, IN 46202-5189
Phone (317) 880-6000

Hospital & facility affiliations

  • Eskenazi Health Hospital, Indianapolis, IN, CCN 150024

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01074280AINMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eskenazi Medical Group Inc Internal Medicine CurrentSince Sep 29, 2014 Accepting new patients
The Health and Hospital Corporation of Marion County CurrentSince Sep 29, 2014 Accepting new patients
Indiana University Health Care Associates, Inc Past Accepting new patients
Major Hospital Past Accepting new patients

Locations

640 Eskenazi Ave
Ste F1200
Indianapolis, IN 46202
Phone (317) 880-3303

720 Eskenazi Ave
Fl 5
Indianapolis, IN 46202
Phone (317) 880-6000

5515 W 38th St
Indianapolis, IN 46254
Phone (317) 880-3838

720 Eskenazi Ave
Indianapolis, IN 46202
Phone (317) 880-0000

2505 N Arlington Ave
Indianapolis, IN 46218
Phone (317) 554-5200

2732 W Michigan St
Indianapolis, IN 46222
Phone (317) 554-4600

720 Eskenazi Ave
Bldg 5TH
Indianapolis, IN 46202
Phone (317) 880-3818

720 Eskenazi Ave
Fl 2
Indianapolis, IN 46202
Phone (317) 278-5316

Interoperability endpoints

  • Direct secure messaging: dpino13874@direct.eskenazihealth.edu

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.

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": "1271289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1457677403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 637764",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452637764",
            "telephone_number": "317-880-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5515 W 38TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462542995",
            "telephone_number": "317-880-3838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINO",
        "first_name": "DANIEL",
        "middle_name": "GUSTAV",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-15",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01074280A",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01074280A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dpino13874@direct.eskenazihealth.edu",
            "affiliation": "N",
            "address_1": "5515 W 38th St",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462542919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.