Christian Pearson Bateman, MD
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Indianapolis, IN
NPI 1982306866 · NPPES record last updated Jul 23, 2024
Key facts
- NPI
- 1982306866
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- License
- 11023361A (IN)
- Practice address
- 1120. W. Michigan Street
Gatch Hall - CL 365
Indianapolis, IN 46202 - Phone
- (317) 274-0267
- NPI assigned
- Mar 21, 2023
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240627002789 | IN | Order and Referring Only - Anesthesiology |
2365986684 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11023361A | IN | MD | Student in an Organized Health Care Education/Training Program |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | 11023361A | IN | Yes |
Addresses
Primary practice location
1120. W. Michigan Street
Gatch Hall - CL 365
Indianapolis, IN 46202
Mailing address
1120 W. Michigan Street
Gatch Hall - CL 365
Indianapolis, IN 46202
Phone (317) 274-0267
Other providers in Indianapolis, IN
- Edward J Bastyr III
- Maite Bastyr
- Rohan Basu
- Ashley Batchelor-Nasiri
- Kelly Marie Batchelor
- Ah'Nonda Bates
- Destinee Bates
- Felicia Chism Bates
- Henry Bates
- Jaela Bates
All providers in Indianapolis, IN · Student in an Organized Health Care Education/Training Program in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.