Individual provider Active NPI

Robert V Riddell, MD

  • Cardiovascular Disease Physician
  • Lafayette, IN
National Provider Identifier
1851353262
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
01031936A Issued in IN
Practice address
3900 St Francis Way Ste 205
Lafayette, IN 47905-4939
Phone
(765) 428-2500
NPI assigned
Apr 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 01031936A IN Primary

Addresses

Primary practice location

3900 St Francis Way Ste 205
Lafayette, IN 47905-4939

Mailing address

3900 St Francis Way Ste 205
Lafayette, IN 47905-4939

Other identifiers 1

IdentifierTypeStateIssuer
100340650MedicaidIN

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
I20040305000009 IN Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1456249143 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincent Medical Group, Inc. CurrentSince Jul 9, 2012 Accepting new patients
St. Vincent Medical Group, Inc. Cardiovascular Disease Current Accepting new patients
St. Vincent Medical Group, Inc. CurrentSince Jul 9, 2012 Accepting new patients
Care Group LLC Cardiovascular Disease Past Accepting new patients
The Care Labs, LLC Past Accepting new patients

Locations

8333 Naab Rd
#180B
Indianapolis, IN 46260
Phone (317) 338-6666

8433 Harcourt Rd
Ste 100
Indianapolis, IN 46260
Phone (317) 583-7702

8333 Naab Rd
Ste 400
Indianapolis, IN 46260
Phone (317) 338-5066

8333 Naab Rd
Ste 335
Indianapolis, IN 46260
Phone (317) 338-5066

8330 Naab Rd
Ste 135
Indianapolis, IN 46260
Phone (317) 415-6300

8333 Naab Rd
Ste 180
Indianapolis, IN 46260
Phone (317) 871-8905

8840 Commerce Park Pl
Ste E
Indianapolis, IN 46268
Phone (317) 583-4420

8333 Naab Rd
Ste 180A
Indianapolis, IN 46260
Phone (317) 338-9005

250 W 96th St
#520
Indianapolis, IN 46260
Phone (317) 583-3331

3900 St Francis Way
Ste 205
Lafayette, IN 47905
Phone (765) 428-2500

1104 E Grace St
Rensselaer, IN 47978
Phone (219) 866-2026

540 Hospital Dr
Winamac, IN 46996
Phone (574) 935-4327

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.

NPI Registry JSON

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1851353262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 ST FRANCIS WAY STE 205",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479054939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 ST FRANCIS WAY STE 205",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479054939",
            "telephone_number": "765-428-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDDELL",
        "first_name": "ROBERT",
        "middle_name": "V",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "01031936A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100340650",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, IN

Sources for this page

Verify at the official NPI Registry.