Individual provider Active NPI

Donita Roettcher, M.D.

  • Pediatrics Physician
  • Westfield, IN
National Provider Identifier
1629423504
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
01082831A Issued in IN
Practice address
19800 East St Ste 120
Westfield, IN 46074-3833
Phone
(463) 622-9200
Fax
(463) 622-9201
NPI assigned
Apr 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 01082831A IN Primary

Addresses

Primary practice location

19800 East St Ste 120
Westfield, IN 46074-3833

Mailing address

6626 E 75TH St Ste 500
Indianapolis, IN 46250-2890

Other practice location 1

3611 S Reed Rd Ste 108
Kokomo, IN 46902-3828
Phone (765) 776-3700

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
I20210928001289 IN Practitioner - Pediatric Medicine 5597055400 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01082831AINMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Physicians of Indiana Inc CurrentSince Oct 1, 2021 Accepting new patients
Jane Pauley Community Health Center Inc CurrentSince Jan 14, 2025 Accepting new patients
Community Physicians of Indiana Inc Pediatrics CurrentSince Oct 1, 2021 Accepting new patients

Locations

5819 Reliable Pkwy
Chicago, IL 60686

1503 N Mitthoefer Rd
Indianapolis, IN 46229

8931 E 30th St
Indianapolis, IN 46219
Phone (317) 355-9320

6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547

7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444

3611 S Reed Rd
Kokomo, IN 46902
Phone (765) 400-2915

3611 S Reed Rd
Ste 108
Kokomo, IN 46902
Phone (765) 776-3700

19800 East St
#120
Westfield, IN 46074
Phone (317) 621-7120

Interoperability endpoints

  • Direct secure messaging: droettcher746504@direct.ochin.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.

NPI Registry JSON

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

{
    "created_epoch": "1461801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1629423504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6626 E 75TH ST STE 500",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19800 EAST ST STE 120",
            "city": "WESTFIELD",
            "state": "IN",
            "postal_code": "460743833",
            "telephone_number": "463-622-9200",
            "fax_number": "463-622-9201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3611 S Reed Rd Ste 108",
            "address_purpose": "LOCATION",
            "city": "Kokomo",
            "state": "IN",
            "postal_code": "469023828",
            "country_code": "US",
            "telephone_number": "765-776-3700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROETTCHER",
        "first_name": "DONITA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-28",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01082831A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westfield, IN

Sources for this page

Verify at the official NPI Registry.