Andrew Lyle Rodenbarger

MD | Pediatric Cardiology | Male

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Complete Profile:

Andrew Lyle Rodenbarger basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Cardiology
Provider Name :	Andrew Lyle Rodenbarger
Credential :	MD
Gender :	Male

Business Address:

Andrew Lyle Rodenbarger address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	705 Riley Hospital Dr, Rr 127 Indianapolis, IN, 46202-5109 United States
Phone Number :	317-274-8906
Fax Number :	317-274-4022

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1114293024
NPI Entity Type :	Individual
First Enrolment Date :	25 Mar, 2012
Last Updated On :	24 Apr, 2019

Medicare Participation:

Andrew Lyle Rodenbarger participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	8022329069
Medicare Enrollment ID :	I20190829001747
Primary Specialty :	Cardiovascular Disease (cardiology)
Medical School :	Indiana University School Of Medicine
Graduation Year :	2012
Accepts Medicare?	Yes. Andrew Lyle Rodenbarger accepts medicare insurance.

Group Practice Association:

Andrew Lyle Rodenbarger is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Andrew Lyle Rodenbarger is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
University Pediatric Associates, Inc.	2163326794	123	705 Riley Hospital Dr Indianapolis, IN - 462025109 Ph: 3179445000	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Andrew Lyle Rodenbarger are as mentioned. Primary taxonomy code for Andrew Lyle Rodenbarger, MD is 2080P0202X (Pediatrics Pediatric Cardiology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0202X	Pediatrics Pediatric Cardiology	Yes	01081992A	IN

Legacy Identifiers:

Other legacy medical identifiers of Andrew Lyle Rodenbarger such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
0118145	MEDICAID	OH

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	Po Box 1026 Indianapolis, IN, 46206-1026 United States
Phone Number :	317-777-6435
Fax Number :	317-777-6644

Business Location:

Patients can refer following map for directions to Andrew Lyle Rodenbarger practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.