Individual provider Active NPI

John Hittle, MD

  • Internal Medicine Physician
  • Greenfield, IN
National Provider Identifier
1821090275
Registry record updated Oct 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01041331A Issued in IN
Practice address
1 Memorial SQ Ste 305
Greenfield, IN 46140-3308
Phone
(317) 462-6662
Fax
(317) 468-6275
NPI assigned
Aug 15, 2005
Last updated
Oct 8, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01041331A IN Primary

Addresses

Primary practice location

1 Memorial SQ Ste 305
Greenfield, IN 46140-3308

Mailing address

PO Box 129
Greenfield, IN 46140-0129
Phone (317) 468-6270

Other identifiers 5

IdentifierTypeStateIssuer
4398281OtherINAETNA PIN #
000000112531OtherINANTHEM PIN #
200311740HOtherINMEDICAID GROUP #
110215614OtherINMEDICARE RAILROAD #
200026730MedicaidIN

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
I20100811000735 IN Practitioner - Internal Medicine 1850425984 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Indiana University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arm Specialists LLCGroup PAC ID 8729214887, 18 clinicians
Hancock Physician Network LLCGroup PAC ID 8325952633, 139 clinicians

Practice addresses (Care Compare)

7230 Arbuckle CMNS
Suite 178
Brownsburg, IN 46112-2286
Phone (317) 456-2764

801 N State
Greenfield, IN 46140-1270

801 N State St
Greenfield, IN 46140-1270

801 N State St 3
Central Indiana Amg Specialty Hospital
Greenfield, IN 46140-1270
Phone (317) 477-6789

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01041331AINMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hancock Physician Network, LLC Internal Medicine CurrentSince Jun 20, 2003 Accepting new patients
Hancock Regional Hospital Past Accepting new patients
Major Hospital Past Accepting new patients

Locations

1 Memorial Sq
Ste 305
Greenfield, IN 46140
Phone (317) 462-6662

1 Memorial Sq
Ste 335
Greenfield, IN 46140
Phone (317) 462-6662

1 Memorial Sq
Ste 50
Greenfield, IN 46140
Phone (317) 468-6257

801 N State St
#3W
Greenfield, IN 46140
Phone (317) 477-6789

801 N State St
Ste 2000
Greenfield, IN 46140
Phone (317) 325-2727

7962 Oaklandon Rd
Ste 106
Indianapolis, IN 46236
Phone (317) 721-6145

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Suburban HospiceNoblesville, IN, CCN 151547 Hospice Contracted Managing Employee Oct 1, 2019

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286496000000",
    "number": "1821090275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 129",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461400129",
            "telephone_number": "317-468-6270",
            "fax_number": "317-468-6268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEMORIAL SQ STE 305",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461403308",
            "telephone_number": "317-462-6662",
            "fax_number": "317-468-6275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HITTLE",
        "first_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2010-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01041331A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PIN #",
            "identifier": "4398281",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN #",
            "identifier": "000000112531",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP #",
            "identifier": "200311740H",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD #",
            "identifier": "110215614",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200026730",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, IN

Sources for this page

Verify at the official NPI Registry.