Individual provider Active NPI

Robert Allen Youkilis, MD

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Carmel, IN
National Provider Identifier
1508814740
Registry record updated Feb 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X
License
01045915A Issued in IN
Practice address
12065 Old Meridian
Suite 205
Carmel, IN 46032
Phone
(317) 844-5656
Fax
(317) 575-3795
NPI assigned
May 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery within the Head & Neck (Otolaryngology) Physician 207YX0007X 01045915A IN Primary

Addresses

Primary practice location

12065 Old Meridian
Suite 205
Carmel, IN 46032

Mailing address

Pob 6069 Dept 10
Indpls, IN 46206-6069
Phone (317) 844-5656

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
I20100913000604 IN Practitioner - Otolaryngology 3971417502 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Cincinnati College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Otolaryngology Associates LLCGroup PAC ID 7810931409, 45 clinicians
Riverview HospitalGroup PAC ID 1153216627, 209 clinicians

Practice addresses (Care Compare)

11725 Illinois St
Suite 445
Carmel, IN 46032-3010
Phone (317) 844-7059

493 Westfield Rd a
RHP Ear Nose and Throat
Noblesville, IN 46060-1304
Phone (317) 770-5800

Hospital & facility affiliations

  • Ascension St Vincent Hospital Hospital, Indianapolis, IN, CCN 150084
  • Indiana University Health North Hospital Hospital, Carmel, IN, CCN 150161

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01045915AINMDPlastic Surgery within the Head & Neck (Otolaryngology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Otolaryngology Associates, LLC Plastic Surgery Within the Head & Neck CurrentSince Jan 1, 2024 Accepting new patients
Northside ENT, Inc CurrentSince Jul 1, 1979 Accepting new patients

Locations

10201 N Illinois St
Ste 110
Carmel, IN 46290
Phone (317) 819-2825

12065 Old Meridian St
Ste 205
Carmel, IN 46032
Phone (317) 844-5656

11725 Illinois St
Ste 445
Carmel, IN 46032
Phone (317) 573-4370

13100 E 136th St
Ste 1200
Fishers, IN 46037
Phone (317) 573-4370

8040 Clearvista Pkwy
Ste 350
Indianapolis, IN 46256

Interoperability endpoints

  • Direct secure messaging: robertyoukilis@nent.allscriptsdirect.net
  • Direct secure messaging: ryoukilis@oa2046.srs-direct.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IEEADA

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298851200000",
    "number": "1508814740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "POB 6069 DEPT 10",
            "city": "INDPLS",
            "state": "IN",
            "postal_code": "462066069",
            "telephone_number": "317-844-5656",
            "fax_number": "317-575-3795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12065 OLD MERIDIAN",
            "address_2": "SUITE 205",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "46032",
            "telephone_number": "317-844-5656",
            "fax_number": "317-575-3795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUKILIS",
        "first_name": "ROBERT",
        "middle_name": "ALLEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2011-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "IN",
            "license": "01045915A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.