NICHOLAS STEPHEN IANNAZZO (DO) – Pulmonary Disease Physician, NPI 1043669633
Pulmonary Disease Physician
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Profile Insights
NPPES metrics only — not quality of care.
466 PULMONARY DISEASE in IN
Provider Addresses for NICHOLAS STEPHEN IANNAZZO (DO)
705 Riley Hospital Dr
Indianapolis, IN 462025109
Phone: (317) 962-5820
Fax: (317) 962-3916
Type: Location
1120 W Michigan St
CL 626
Indianapolis, IN 462025209
Phone: (317) 278-2686
Type: Location
720 Eskenazi Ave
Indianapolis, IN 462025187
Phone: (317) 880-7666
Type: Location
611, Spring Street, Lockerbie Square, Indianapolis, Marion, Indiana, 46202, United States
APT. 3211 BOX 218
INDIANAPOLIS, IN 462023783
Phone:
Type: Mailing
1120, West Michigan Street, Indianapolis, Marion, Indiana, 46202, United States
CL 626
INDIANAPOLIS, IN 462025209
Phone: (317) 278-2686
Type: Location
250 N SHADELAND AVE
INDIANAPOLIS, IN 462194959
Phone: (877) 668-5621
Type: Mailing
1701 N SENATE BLVD
INDIANAPOLIS, IN 462021239
Phone: (317) 962-5820
Fax: (317) 962-3916
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $195.
Total Amount is formed as General ($195) + Research ($0) + Ownership ($0) = $195.
Last reported payment date: 2024-11-25 • Largest payer in this snapshot: United Therapeutics Corporation ($121).
Total Amount
$195
General + Research + Ownership
Payments
5
Total payment records
General Amount
$195
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-25
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-06-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190626000433 | I | Pulmonary Disease | IN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99291 | Critical care, first 30-74 minutes | 54 | 20 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 42 | 22 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 29 | 11 | $0 |
Insurance plans in this area (ZIP 46202)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| U R O L O G Y | IN | |
| A N E S T H E S I O L O G Y | IN | |
| A N E S T H E S I O L O G Y | OH | |
| Otolaryngology, Plastic And Reconstructive Surgery | IN | |
| A N E S T H E S I O L O G Y | KY | |
| Anesthesiology Assistant | IN | |
| Emergency Medicine, Pediatric Medicine | IN | |
| General Surgery | IN | |
| Neurology, Epileptologists | IN | |
| U R O L O G Y | OH |
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