Individual provider Active NPI

David P Pletzer, MD

  • Family Medicine Physician
  • Fishers, IN
National Provider Identifier
1467426239
Registry record updated Jan 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01034308A Issued in IN
Practice address
11530 Allisonville Road
Ste 190
Fishers, IN 46038-1862
Phone
(317) 678-3850
NPI assigned
Feb 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01034308A IN Primary

Addresses

Primary practice location

11530 Allisonville Road
Ste 190
Fishers, IN 46038-1862

Mailing address

250 N Shadeland Ave Ste 130
Iu Health Physicians
Indianapolis, IN 46219-4959

Other identifiers 1

IdentifierTypeStateIssuer
200007690MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dpletzer@direct.iuhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Major Hospital Past Accepting new patients
Fishers Family Physicians Family Medicine PastSince Jan 1, 1989 Accepting new patients
St Vincent Medical Group Inc Past Accepting new patients
University Medical Diagnostic Associates, Inc. Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1140048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611273600000",
    "number": "1467426239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE STE 130",
            "address_2": "IU HEALTH PHYSICIANS",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11530 ALLISONVILLE ROAD",
            "address_2": "STE 190",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460381862",
            "telephone_number": "317-678-3850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLETZER",
        "first_name": "DAVID",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-16",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01034308A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200007690",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dpletzer@direct.iuhealth.org",
            "affiliation": "N",
            "address_1": "11530 Allisonville Road",
            "address_2": "Ste 190",
            "city": "Fishers",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460381862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.