Individual provider Active NPI

Robert Alan Czarkowski, MD

  • Orthopaedic Surgery Physician
  • Carmel, IN
National Provider Identifier
1861575342
Registry record updated May 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
01034102A Issued in IN
Practice address
13400 N Meridian Street
Suite 600
Carmel, IN 46032-7107
Phone
(317) 582-7529
Fax
(317) 582-7602
NPI assigned
Oct 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 01034102A IN Primary

Addresses

Primary practice location

13400 N Meridian Street
Suite 600
Carmel, IN 46032-7107

Mailing address

13400 N Meridian Street
Suite 600
Carmel, IN 46032-7107
Phone (317) 582-7529

Other identifiers 1

IdentifierTypeStateIssuer
100126390AMedicaidIN

Other names 1

  • Dr. Robert Alan Czarkowski Professional name

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
I20080702000004 IN Practitioner - Orthopedic Surgery 6800968108 Practice locations: Carmel, IN

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01034102AINMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Major Hospital Past Accepting new patients
The Spine Institute PC Orthopaedic Surgery Past Accepting new patients

Organizations & group practices 2

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": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210896000000",
    "number": "1861575342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13400 N MERIDIAN STREET",
            "address_2": "SUITE 600",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460327107",
            "telephone_number": "317-582-7529",
            "fax_number": "317-582-7602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13400 N MERIDIAN STREET",
            "address_2": "SUITE 600",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460327107",
            "telephone_number": "317-582-7529",
            "fax_number": "317-582-7602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CZARKOWSKI",
        "first_name": "ROBERT",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2008-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IN",
            "license": "01034102A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100126390A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBERT",
            "last_name": "CZARKOWSKI",
            "middle_name": "ALAN",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.