DR. CODY MICHAEL RISSMAN (MD) – Diagnostic Radiology Physician, NPI 1144750456

DR. CODY MICHAEL RISSMAN (MD) is a healthcare provider. based in Indianapolis, Indiana. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. 036159584 (IL). The NPI Number for DR. CODY MICHAEL RISSMAN (MD) is 1144750456

Main info

Male
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. CODY MICHAEL RISSMAN (MD)
NPI
1144750456
Phone
(317) 274-4966
Address
545 BARNHILL DR STE 125
Enumeration Date
19 June 2017
Last Update Date
13 March 2026

Doctor Profile

Medical School Name
GEISEL SCHOOL OF MEDICINE AT DARTMOUTH
Secondary Phone
2193921700
Graduation Year
2017 (9 years ago)
PAC ID
9234408360
Group Practice PAC ID
1951299940
Professional Enrollment ID
I20240816000191
Address ID
IN463123049EA4321XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:8State licenses:1Digital endpointsOther names

847 DIAGNOSTIC RADIOLOGY in IN

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Provider Addresses for DR. CODY MICHAEL RISSMAN (MD)

  • Barnhill Drive, Indianapolis, Marion, Indiana, 46202-5816, United States

    INDIANAPOLIS, IN 462025112

    Phone: (317) 274-4966

    Type: Location

  • 2650 RIDGE AVE STE 1223

    EVANSTON, IL 602011700

    Phone: (847) 570-2040

    Fax: (847) 570-5315

    Type: Mailing

  • 2650 RIDGE AVE

    DEPARTMENT OF RADIOLOGY

    EVANSTON, IL 60201

    Phone: (847) 570-2475

    Fax: (847) 570-2942

    Type: Location

  • 676 N SAINT CLAIR ST STE 800

    CHICAGO, IL 606112978

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-08-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220623000970IDiagnostic RadiologyILTBD
I20240816000191IDiagnostic RadiologyINTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
71045X-ray of chest, 1 view464383$0
71046X-ray of chest, 2 views261256$0
74177Ct scan of abdomen and pelvis with contrast208203$0
763763d radiographic procedure207202$0
74176Ct scan of abdomen and pelvis without contrast143141$0
View full utilization report →

Insurance plans in this area (ZIP 46202)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1951299940View full group profile
NameSpecialtyState
Physician AssistantMI
Diagnostic RadiologyIN
Physician AssistantIL
Diagnostic RadiologyIN
-IN
-IN
Interventional Radiology, Diagnostic RadiologyIL
-IN
-IN
-IN

Reviews

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Frequently asked questions

Does DR. CODY MICHAEL RISSMAN (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. CODY MICHAEL RISSMAN (MD) uses 1144750456.
Does CMS list DR. CODY MICHAEL RISSMAN (MD) as active?
Yes — DR. CODY MICHAEL RISSMAN (MD) is active in the NPI listing used on this page.
What taxonomy line describes DR. CODY MICHAEL RISSMAN (MD)?
For research purposes, treat DR. CODY MICHAEL RISSMAN (MD) as Diagnostic Radiology Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does DR. CODY MICHAEL RISSMAN (MD) serve?
DR. CODY MICHAEL RISSMAN (MD)'s listing highlights Indianapolis, Indiana; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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