Active NPI
Victoria Ann Othersen, DO
- Family Medicine Physician
- Greenwood, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 02004084A
- Practice address
- 362 Meridian Parke LN Ste a
Greenwood, IN 46142-9425 - Phone
- (317) 528-8760
- Fax
- (317) 528-8761
- NPI assigned
- Jul 7, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | DO4288 | ME | |
| Family Medicine Physician | 207Q00000X | 02004084A | IN | Primary |
| Family Medicine Physician | 207Q00000X | 34-007433 | OH |
Addresses
Primary practice location
362 Meridian Parke LN Ste a
Greenwood, IN 46142-9425
Mailing address
PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800
Other practice location 1
119 Northport Ave Fl 2
Belfast, ME 04915-6069
Phone (207) 505-4970
Other practice location 2
2030 Churchman Ave # A
Beech Grove, IN 46107-1044
Phone (317) 786-9285
Other practice location 3
2030 Churchman Ave # A
Beech Grove, IN 46107
Phone (317) 786-9285
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000522568 | Other | IN | ANTHEM |
| 200250180A | Medicaid | IN |
Other names 1
- Dr. Victonia Ann Piekarski
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | vkatona121010@Direct.FranciscanAlliance.org | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2030 Churchman Ave
Suite a
Beech Grove, IN 46107-1044
Phone (317) 786-9285
Hospital & facility affiliations
- Franciscan VNS Home Care, Inc
- Franciscan Health Indianapolis
- Franciscan Health Mooresville
- Community Hospital East
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02004084A | IN | MD | Family Medicine Physician |
| 34-007433 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franciscan Physician Network | Current | Accepting new patients | |
| Franciscan Physician Network | Family Medicine | Current | Accepting new patients |
| Major Hospital | Past | Accepting new patients |
Locations
2030 Churchman Ave
#A
Beech Grove, IN 46107
Phone (317) 786-9285
2030 Churchman Ave
Beech Grove, IN 46107
Phone (317) 781-2100
2030 Churchman Ave
Ste A
Beech Grove, IN 46107
Phone (317) 783-8957
1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120
1040 Sierra Dr
Ste 400
Greenwood, IN 46143
Phone (317) 528-4886
362 Meridian Parke Ln
#A
Greenwood, IN 46142
Phone (317) 528-8760
150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211
Interoperability endpoints
- vkatona121010@direct.franciscanalliance.org
- vothersen121010@direct.franciscanalliance.org
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.
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1225327984
-
- Clinic/Center
- Lafayette, IN
- NPI 1992543250
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1336119478
-
- General Acute Care Hospital
- Carmel, IN
- NPI 1376214981
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1386749893
-
- General Acute Care Hospital
- Mooresville, IN
- NPI 1679678197
-
- Home Health Agency
- Beech Grove, IN
- NPI 1649276551
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782691200000",
"number": "1629075429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 781076",
"city": "DETROIT",
"state": "MI",
"postal_code": "482781076",
"telephone_number": "317-528-4800",
"fax_number": "317-865-1479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "362 MERIDIAN PARKE LN STE A",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461429425",
"telephone_number": "317-528-8760",
"fax_number": "317-528-8761"
}
],
"practiceLocations": [
{
"address_1": "119 Northport Ave Fl 2",
"address_purpose": "LOCATION",
"city": "Belfast",
"state": "ME",
"postal_code": "049156069",
"country_code": "US",
"telephone_number": "207-505-4970",
"fax_number": "207-618-5563",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2030 Churchman Ave # A",
"address_purpose": "LOCATION",
"city": "Beech Grove",
"state": "IN",
"postal_code": "461071044",
"country_code": "US",
"telephone_number": "317-786-9285",
"fax_number": "317-781-2793",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2030 Churchman Ave # A",
"address_purpose": "LOCATION",
"city": "Beech Grove",
"state": "IN",
"postal_code": "46107",
"country_code": "US",
"telephone_number": "317-786-9285",
"fax_number": "317-781-2793",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OTHERSEN",
"first_name": "VICTORIA",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-07",
"last_updated": "2026-06-29",
"certification_date": "2026-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ME",
"license": "DO4288",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "02004084A",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "34-007433",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000522568",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200250180A",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "vkatona121010@Direct.FranciscanAlliance.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2030 Churchman Ave # A",
"city": "Beech Grove",
"state": "IN",
"country_code": "US",
"postal_code": "46107",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "VICTONIA",
"last_name": "PIEKARSKI",
"middle_name": "ANN",
"prefix": "DR.",
"credential": "DO",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Greenwood, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.