Individual provider Active NPI

Austin Theisz, PA-C

  • Physician Assistant
  • Fishers, IN
National Provider Identifier
1730968280
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10004133A Issued in IN
Practice address
13121 Olio Rd Ste 100
Fishers, IN 46037-7238
Phone
(317) 621-4044
NPI assigned
Sep 25, 2023
Sex
Male
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
Physician Assistant 363A00000X 10004133A IN Primary

Addresses

Primary practice location

13121 Olio Rd Ste 100
Fishers, IN 46037-7238

Mailing address

13121 Olio Rd Ste 100
Fishers, IN 46037-7238

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231009002826 IN Practitioner - Physician Assistant 0042665200 Reassigns benefits to 2 organizations
I20240613003673 IL Practitioner - Physician Assistant 0042665200 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Physicians of Indiana IncGroup PAC ID 1759416662, 1,569 clinicians

Practice addresses (Care Compare)

13121 Olio Rd
Suite 100
Fishers, IN 46037-7238
Phone (317) 355-2050

7120 Clearvista Dr
Suite 4000
Indianapolis, IN 46256-1774
Phone (317) 621-7444

8101 Clearvista Pkwy
Suite 185
Indianapolis, IN 46256-5605
Phone (317) 621-1006

8435 Clearvista PL
Suite 101
Indianapolis, IN 46256-3761
Phone (317) 621-1006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
10004133AINMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Community Physicians of Indiana Inc CurrentSince Sep 1, 2025 Accepting new patients
Providence Medical Group LLC CurrentSince Oct 1, 2023 Accepting new patients

Locations

5819 Reliable Pkwy
Chicago, IL 60686

645 S Central Ave
Chicago, IL 60644
Phone (773) 626-4300

13121 Olio Rd
Ste 100
Fishers, IN 46037
Phone (317) 355-2050

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

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

3560 S 4th St
Terre Haute, IN 47802
Phone (812) 235-8496

Interoperability endpoints

  • Direct secure messaging: atheisz657753@ecommunitydirect.com

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": "1695600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1730968280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13121 OLIO RD STE 100",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460377238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13121 OLIO RD STE 100",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460377238",
            "telephone_number": "317-621-4044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEISZ",
        "first_name": "AUSTIN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-25",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10004133A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

Verify at the official NPI Registry.