Individual provider Active NPI

Paul P Szotek Jr., M.D.

  • Surgery Physician
  • Indianapolis, IN
National Provider Identifier
1649437922
Registry record updated Nov 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
01063653A Issued in IN
Practice address
8435 Clearvista PL Ste 104
Indianapolis, IN 46256-3761
Phone
(317) 868-1305
Fax
(317) 645-1477
NPI assigned
May 22, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 258212 NY
Surgery Physician 208600000X 01063653A IN Primary

Addresses

Primary practice location

8435 Clearvista PL Ste 104
Indianapolis, IN 46256-3761

Mailing address

2937 Gadsen Cir S
Carmel, IN 46032-8393
Phone (317) 868-1305

Other identifiers 1

IdentifierTypeStateIssuer
201073700MedicaidIN

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
I20120315000566 IN Practitioner - General Surgery 8527252741 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Indiana University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

13430 N Meridian St
Suite 280
Carmel, IN 46032-1484
Phone (317) 868-1305

13500 N Meridian St
Carmel, IN 46032-1456
Phone (317) 868-1305

2257 Finchley Rd
Carmel, IN 46032-7338
Phone (317) 868-1305

Hospital & facility affiliations

  • Ascension St Vincent Carmel Hospital, Carmel, IN, CCN 150157

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)35
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01063653AINMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana Hernia Center, LLC Surgery CurrentSince Oct 30, 2018 Accepting new patients
Center for Surgical Sciences & Trauma, Inc Surgery Past Accepting new patients
Major Hospital Past Accepting new patients

Locations

13430 N Meridian St
Ste 280
Carmel, IN 46032
Phone (317) 582-8030

13500 N Meridian St
Carmel, IN 46032
Phone (317) 573-7000

1542 S Bloomington St
#1100
Greencastle, IN 46135
Phone (765) 658-2700

1542 S Bloomington St
Ste 1100
Greencastle, IN 46135
Phone (765) 658-2700

1542 S Bloomington St
Greencastle, IN 46135
Phone (765) 522-2556

8435 Clearvista Pl
Ste 104
Indianapolis, IN 46256
Phone (317) 868-1305

17300 Westfield Blvd
Ste 330
Westfield, IN 46074
Phone (317) 463-5787

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541376000000",
    "number": "1649437922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2937 GADSEN CIR S",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460328393",
            "telephone_number": "317-868-1305",
            "fax_number": "317-645-1477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8435 CLEARVISTA PL STE 104",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462563761",
            "telephone_number": "317-868-1305",
            "fax_number": "317-645-1477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZOTEK",
        "first_name": "PAUL",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-22",
        "last_updated": "2018-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "258212",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IN",
            "license": "01063653A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201073700",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.