MADISON DEMBINSKI (CAA) – Anesthesiologist Assistant, NPI 1316516552

MADISON DEMBINSKI (CAA) is a healthcare provider. based in Indianapolis, Indiana. specializing in ANESTHESIOLOGY ASSISTANT. They hold the professional credentials CAA. They hold a License No. 75000086A (IN). The NPI Number for MADISON DEMBINSKI (CAA) is 1316516552

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
MADISON DEMBINSKI (CAA)
NPI
1316516552
Phone
Not provided
Address
250 N SHADELAND AVE
Enumeration Date
22 June 2021
Last Update Date
22 June 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3179449981
Graduation Year
2021 (5 years ago)
PAC ID
4789072596
Group Practice PAC ID
5698770527
Professional Enrollment ID
I20211028000239
Address ID
IN462025109IN705XXDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

204 ANESTHESIOLOGY ASSISTANT in IN

Provider Addresses for MADISON DEMBINSKI (CAA)

  • 250 N SHADELAND AVE

    INDIANAPOLIS, IN 462194959

    Phone:

    Type: Mailing

  • 705 RILEY HOSPITAL DR

    INDIANAPOLIS, IN 462025109

    Phone: (317) 274-0275

    Type: Location

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: 2021-10-28

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20211028000239IAnesthesiology AssistantINTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 46219)

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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: 5698770527View full group profile
NameSpecialtyState
-IN
Certified Registered Nurse Anesthetist (Crna)IN
-CO
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YKY
A N E S T H E S I O L O G YIN
Certified Registered Nurse Anesthetist (Crna)IN
A N E S T H E S I O L O G YIN
A N E S T H E S I O L O G YIN
A N E S T H E S I O L O G YIN

Reviews

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Frequently asked questions

Can I verify MADISON DEMBINSKI (CAA) with an NPI only?
You can start verification with NPI 1316516552 for MADISON DEMBINSKI (CAA), then check state licensing separately.
Can I rely on MADISON DEMBINSKI (CAA) being an active provider?
As of the registry snapshot, MADISON DEMBINSKI (CAA) is marked active.
What taxonomy line describes MADISON DEMBINSKI (CAA)?
For research purposes, treat MADISON DEMBINSKI (CAA) as Anesthesiologist Assistant in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for MADISON DEMBINSKI (CAA)?
MADISON DEMBINSKI (CAA)'s geographic hint is Indianapolis, Indiana in our summary view.
Why does MADISON DEMBINSKI (CAA) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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