Individual provider Active NPI

Paul F. Cacchillo, M.D.

  • Ophthalmology Physician
  • Indianapolis, IN
National Provider Identifier
1902848765
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
01046653A Issued in IN
Practice address
9202 N Meridian St Ste 100
Indianapolis, IN 46260-1810
Phone
(317) 841-2020
Fax
(317) 570-7433
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 01046653A IN Primary

Addresses

Primary practice location

9202 N Meridian St Ste 100
Indianapolis, IN 46260-1810

Mailing address

9202 N Meridian St Ste 100
Indianapolis, IN 46260-1810
Phone (317) 841-2020

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
I20100813000536 IN Practitioner - Ophthalmology 2860534252 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Ohio State University College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Surgeons of Indiana, PCGroup PAC ID 0446267876, 19 clinicians

Practice addresses (Care Compare)

9202 N Meridian St
Suite 100
Indianapolis, IN 46260-1810
Phone (317) 841-2020

Merit-based Incentive Payment System (MIPS)

Final score
89.62 of 100Reported as group
Quality
87.79
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery869

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Surgeons of Indiana, PC Ophthalmology CurrentSince Jul 16, 1999 Accepting new patients
Ophthalmic Plastic Surgery Inc Ophthalmology Past Accepting new patients
Major Hospital Ophthalmology Past Accepting new patients

Locations

1603 S Scatterfield Rd
Anderson, IN 46016
Phone (765) 644-2020

740 W Green Meadows Dr
Ste 310
Greenfield, IN 46140
Phone (317) 462-2020

8103 Clearvista Pkwy
Ste 310
Indianapolis, IN 46256

9202 N Meridian St
Ste 100
Indianapolis, IN 46260
Phone (317) 841-2020

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1902848765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9202 N MERIDIAN ST STE 100",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601810",
            "telephone_number": "317-841-2020",
            "fax_number": "317-570-7433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9202 N MERIDIAN ST STE 100",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601810",
            "telephone_number": "317-841-2020",
            "fax_number": "317-570-7433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CACCHILLO",
        "first_name": "PAUL",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": "01046653A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.