NPIMap

Organization Active NPI

Obstetrix Medical Group of Indiana, P.C.

  • Maternal & Fetal Medicine Physician
  • Indianapolis, IN
National Provider Identifier
1497236103
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
Legal business name
OBSTETRIX MEDICAL GROUP OF INDIANA, P.C.
Practice address
8091 Township Line Rd Ste 108
Indianapolis, IN 46260-2495
Phone
(317) 415-8100
NPI assigned
Aug 22, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Authorized official

Name
Kevin M Pitzer
Title
Assistant Secretary
Phone
(800) 243-3839

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VM0101X Primary

Addresses

Primary practice location

8091 Township Line Rd Ste 108
Indianapolis, IN 46260-2495

Mailing address

1301 Concord Ter
Sunrise, FL 33323-2843
Phone (800) 243-3839

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190308001259 IN Part B Supplier - Clinic/Group Practice 6204175243 Receives reassigned benefits from 17 practitioners
Practice locations: South Bend, IN

National Provider Directory

National Provider Directory

Locations

13420 N Meridian St
Ste 200
Carmel, IN 46032
Phone (317) 415-7626

13420 N Meridian St
Ste 300
Carmel, IN 46032
Phone (317) 582-7248

3700 Washington Ave
Ste 1100
Evansville, IN 47714
Phone (812) 469-8170

8091 Township Line Rd
Ste 203
Indianapolis, IN 46260
Phone (317) 415-8100

100 Navarre Pl
South Bend, IN 46601
Phone (574) 235-1010

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1534896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754352000000",
    "number": "1497236103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 CONCORD TER",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232843",
            "telephone_number": "800-243-3839",
            "fax_number": "844-686-2961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8091 TOWNSHIP LINE RD STE 108",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602495",
            "telephone_number": "317-415-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OBSTETRIX MEDICAL GROUP OF INDIANA, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-22",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A",
        "authorized_official_last_name": "PITZER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "800-243-3839"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.