Active NPI
Frank J Pistoia, MD
- Diagnostic Radiology Physician
- Indianapolis, IN
National Provider Identifier
1558346627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 01039270A
- Practice address
- 5901 Technology Center Dr
Indianapolis, IN 46278-6013 - Phone
- (317) 328-5050
- Fax
- (317) 715-9965
- NPI assigned
- Dec 13, 2005
- Last updated
- Oct 3, 2016
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 01039270A | IN | Primary |
Addresses
Primary practice location
5901 Technology Center Dr
Indianapolis, IN 46278-6013
Mailing address
5901 Technology Center Dr
Indianapolis, IN 46278-6013
Phone (317) 328-5050
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000082115 | Other | IN | ANTHEM-351158723 |
| 092449 | Other | IN | HEALTH ALLIANCE-351158723 |
| 300099817 | Other | IN | RR MEDICARE-351158723 |
| 100324290 | Medicaid | IN | |
| 000000492365 | Other | IN | ANTHEM 203778927 |
| 003211 | Other | IN | SIHO-351158723 |
| Q0070438 | Other | IN | CMOSHO351158723&352047427 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01039270A | IN | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Vincent Northwest Radiology LLC | Diagnostic Radiology | Past | Accepting new patients |
| Rush Memorial Hospital | Past | Accepting new patients | |
| St. Vincent Health Wellness and Preventive Care Institute, Inc. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba RMH Healthcare Associates Rural Health Clinic
- Rural Health Clinic/Center
- Rushville, IN
- NPI 1659935781
-
- Diagnostic Radiology Physician
- Fishers, IN
- NPI 1114978350
-
dba Ascension St. Vincent Wellness
- Occupational Medicine Physician
- Indianapolis, IN
- NPI 1710300033
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475452800000",
"number": "1558346627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5901 TECHNOLOGY CENTER DR",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462786013",
"telephone_number": "317-328-5050",
"fax_number": "317-328-5053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5901 TECHNOLOGY CENTER DR",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462786013",
"telephone_number": "317-328-5050",
"fax_number": "317-715-9965"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PISTOIA",
"first_name": "FRANK",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-13",
"last_updated": "2016-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IN",
"license": "01039270A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM-351158723",
"identifier": "000000082115",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ALLIANCE-351158723",
"identifier": "092449",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE-351158723",
"identifier": "300099817",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100324290",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM 203778927",
"identifier": "000000492365",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SIHO-351158723",
"identifier": "003211",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CMOSHO351158723&352047427",
"identifier": "Q0070438",
"state": "IN"
}
],
"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 Oct 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.