Individual provider Active NPI

Nicole R Klein, M.D.

  • Otolaryngology Physician
  • Noblesville, IN
National Provider Identifier
1740347111
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
01050069A Issued in IN
Practice address
18051 River Ave
Suite 104
Noblesville, IN 46062-7093
Phone
(317) 573-4370
Fax
(317) 819-0044
NPI assigned
Jan 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 01050069A IN Primary

Addresses

Primary practice location

18051 River Ave
Suite 104
Noblesville, IN 46062-7093

Mailing address

10201 N Illinois St Ste 110
Carmel, IN 46290-1172
Phone (317) 819-4516

Other identifiers 2

IdentifierTypeStateIssuer
040017759OtherINMEDICARE RAILROAD
200380850MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address NKLEIN@OA2046.SRS-DIRECT.COM Direct Otolaryngology Associates, LLC

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
I20100422001078 IN Practitioner - Otolaryngology 8224165212 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Indiana University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Otolaryngology Associates LLCGroup PAC ID 7810931409, 45 clinicians
Riverview HospitalGroup PAC ID 1153216627, 209 clinicians
Community Physicians of Indiana IncGroup PAC ID 1759416662, 1,569 clinicians

Practice addresses (Care Compare)

11725 Illinois St
Suite 445
Carmel, IN 46032-3010
Phone (317) 844-7059

12065 Old Meridian St
Suite 205
Carmel, IN 46032-8777
Phone (317) 844-7059

13100 E 136TH St
Suite 1200
Fishers, IN 46037-9418
Phone (317) 844-7059

493 Westfield Rd a
RHP Ear Nose and Throat
Noblesville, IN 46060-1304
Phone (317) 770-5800

5255 E Stop 11 Rd
Indianapolis, IN 46237-6341
Phone (317) 844-7059

8040 Clearvista Pkwy
Suite 350
Indianapolis, IN 46256-4673
Phone (317) 844-7059

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01050069AINMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Physicians of Indiana Inc CurrentSince Jun 17, 2024 Accepting new patients
Riverview Hospital CurrentSince Aug 1, 2024 Accepting new patients
Otolaryngology Associates, LLC Otolaryngology CurrentSince Sep 1, 2002 Accepting new patients
Riverview Hospital CurrentSince Aug 1, 2024 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Jun 17, 2024 Accepting new patients

Locations

5819 Reliable Pkwy
Chicago, IL 60686

10201 N Illinois St
Ste 110
Carmel, IN 46290
Phone (317) 819-2825

12065 Old Meridian St
Ste 205
Carmel, IN 46032
Phone (317) 844-5656

11725 Illinois St
Ste 445
Carmel, IN 46032
Phone (317) 573-4370

13100 E 136th St
Ste 1200
Fishers, IN 46037
Phone (317) 573-4370

9002 N Meridian St
Ste 222
Indianapolis, IN 46260
Phone (317) 573-4370

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

8040 Clearvista Pkwy
Ste 350
Indianapolis, IN 46256

493 Westfield Rd
Ste A
Noblesville, IN 46060
Phone (317) 770-4100

18051 River Rd
Ste 104
Noblesville, IN 46062
Phone (317) 573-4370

395 Westfield Rd
Noblesville, IN 46060
Phone (317) 218-3136

Interoperability endpoints

  • Direct secure messaging: nklein789573@directc.mercy.net
  • Direct secure messaging: nklein@oa2046.srs-direct.com
  • Direct secure messaging: nklein30565@ecommunitydirect.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IEEADA

Organizations & group practices 5

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 5

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": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1740347111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10201 N ILLINOIS ST STE 110",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "462901172",
            "telephone_number": "317-819-4516",
            "fax_number": "317-819-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18051 RIVER AVE",
            "address_2": "SUITE 104",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460627093",
            "telephone_number": "317-573-4370",
            "fax_number": "317-819-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "NICOLE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2024-06-21",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IN",
            "license": "01050069A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "040017759",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200380850",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "NKLEIN@OA2046.SRS-DIRECT.COM",
            "affiliation": "Y",
            "affiliationName": "Otolaryngology Associates, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "9002 North Meridian Street",
            "address_2": "Suite 222",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462605350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Noblesville, IN

Sources for this page

Verify at the official NPI Registry.