Active NPI
Robert John Pettit, MD
- Orthopaedic Surgery Physician
- Fishers, IN
National Provider Identifier
1639747231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 01099767A
- Practice address
- 13000 E 136TH St
Fishers, IN 46037-9478 - Phone
- (317) 678-2273
- NPI assigned
- Jun 11, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 01099767A | IN | Primary |
| Orthopaedic Surgery Physician | 207X00000X | 1639747231 | IN |
Addresses
Primary practice location
13000 E 136TH St
Fishers, IN 46037-9478
Mailing address
250 N Shadeland Ave
Indianapolis, IN 46219-4959
Other practice location 1
1801 N Senate Blvd Ste 535
Indianapolis, IN 46202-1204
Phone (804) 389-1025
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300132121 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | RPETTIT@DIRECT.IUHEALTH.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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260622001398 | IN | Practitioner - Orthopedic Surgery | 7012315807 |
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- University of Utah School of Medicine, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
250 N Shadeland Ave
Indianapolis, IN 46219-4959
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785801600000",
"number": "1639747231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 N SHADELAND AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462194959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13000 E 136TH ST",
"city": "FISHERS",
"state": "IN",
"postal_code": "460379478",
"telephone_number": "317-678-2273"
}
],
"practiceLocations": [
{
"address_1": "1801 N Senate Blvd Ste 535",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462021204",
"country_code": "US",
"telephone_number": "804-389-1025",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PETTIT",
"first_name": "ROBERT",
"middle_name": "JOHN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-11",
"last_updated": "2026-08-04",
"certification_date": "2026-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "IN",
"license": "01099767A",
"primary": true
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "IN",
"license": "1639747231",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300132121",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "RPETTIT@DIRECT.IUHEALTH.ORG",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "13000 E 136th St",
"city": "Fishers",
"state": "IN",
"country_code": "US",
"postal_code": "460379478",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fishers, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.