Active NPI
Nicholas A Doyle, M.D.
- Pediatrics Physician
- Avon, IN
National Provider Identifier
1528087111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 01060700
- Practice address
- 1111 Ronald Reagan Pkwy
B1100
Avon, IN 46123-7085 - Phone
- (317) 274-1201
- Fax
- (317) 278-9905
- NPI assigned
- Jul 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 01060700 | IN | Primary |
Addresses
Primary practice location
1111 Ronald Reagan Pkwy
B1100
Avon, IN 46123-7085
Mailing address
PO Box 1026
Indianapolis, IN 46206-1026
Phone (317) 274-1201
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Pediatric Associates, Inc. | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Indianapolis, IN
- NPI 1457396541
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194825600000",
"number": "1528087111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1026",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462061026",
"telephone_number": "317-274-1201",
"fax_number": "317-278-9905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 RONALD REAGAN PKWY",
"address_2": "B1100",
"city": "AVON",
"state": "IN",
"postal_code": "461237085",
"telephone_number": "317-274-1201",
"fax_number": "317-278-9905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOYLE",
"first_name": "NICHOLAS",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2007-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IN",
"license": "01060700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Avon, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.