Andrew F Poltrack, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

01056169A Issued in IN

Practice address

124 State Road 46 West
Batesville, IN 47006

Phone

(812) 933-6000

Fax

(812) 933-0921

NPI assigned

Apr 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IN, OH2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/FmRItZc30RH60LjxwsIxQM4HGo6XcQXK/
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: andrew.poltrack.chsn@direct.cps.nextgenshare.com

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.

• CHMC Community Health Services Network

  • Pediatrics Physician
  • Cincinnati, OH
  • NPI 1023637774
  Medicare reassignment NPD
• CHMC Community Health Services Network

  • Pediatrics Physician
  • Cincinnati, OH
  • NPI 1245821271

  IN

  Medicare reassignment
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557360000000",
    "number": "1982661708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 STATE ROAD 46 WEST",
            "city": "BATESVILLE",
            "state": "IN",
            "postal_code": "47006",
            "telephone_number": "812-933-6000",
            "fax_number": "812-933-0921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 STATE ROAD 46 WEST",
            "city": "BATESVILLE",
            "state": "IN",
            "postal_code": "47006",
            "telephone_number": "812-933-6000",
            "fax_number": "812-933-0921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLTRACK",
        "first_name": "ANDREW",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2019-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "OH",
            "license": "35.07906",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01056169A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Weber DDS
• Katie Reyna Payne, FNP-C
• Olga Marie Petrovic, M.D.
• Susan Marie Phillips, PT
• Roger Keith Pike, D.D.S.
• Premier Anesthesia Associates, LLC
• Carmen Lynn Pride, MPT
• Sara Kristine Prifogle, MPT
• Principled Chiropractic of Batesville
• Radiology Consultants of SE Indiana PC

• Pediatrics Physician in Batesville, IN
• Providers in Batesville, IN by specialty
• Pediatrics Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.