TANYANAN TANAWUTTIWAT M.D.
NPI 1992980767
Internal Medicine - Clinical Cardiac Electrophysiology in Indianapolis, IN

NPI Status: Active since December 29, 2007

Contact Information

1701 N SENATE BLVD
HEART STATION A1089
INDIANAPOLIS, IN
ZIP 46202
Phone: (317) 962-8447

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  • Individual
  • Female
  • Years of Experience 21
  • Internal Medicine
  • Clinical Cardiac Electrophysiology
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About TANYANAN TANAWUTTIWAT

This page provides the complete NPI Profile along with additional information for Tanyanan Tanawuttiwat, an internist established in Indianapolis, Indiana with a medical specialization in Internal Medicine, focusing in clinical cardiac electrophysiology and more than 21 years of experience. The healthcare provider is registered in the NPI registry with number 1992980767 assigned on December 2007. The practitioner's primary taxonomy code is 207RC0001X with license number 01083239A (IN). The provider is registered as an individual and her NPI record was last updated July 2025.

NPI
1992980767
Provider Name
TANYANAN TANAWUTTIWAT M.D.
Gender
Female
Entity Type
Individual
Location Address
1701 N SENATE BLVD HEART STATION A1089 INDIANAPOLIS, IN 46202
Location Phone
(317) 962-8447
Mailing Address
250 N SHADELAND AVE STE 200 INDIANAPOLIS, IN 46219
Mailing Phone
(317) 963-3137
Medical School Name
OTHER
Graduation Year
2005
Is Sole Proprietor?
No
Enumeration Date
12-29-2007
Last Update Date
07-26-2025
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An internist like Tanyanan Tanawuttiwat is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Secondary Locations

  • 2500 N State St
    Jackson, MS 39216
    (601) 984-5678
  • 720 Eskenazi Ave
    Indianapolis, IN 46202
    (317) 880-7666

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Clinical Cardiac Electrophysiology

Taxonomy Code
207RC0001X
Type
Allopathic & Osteopathic Physicians
License No.
01083239A
License State
IN
Taxonomy Description
A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207RC0000XAllopathic & Osteopathic Physicians

Internal Medicine
Cardiovascular Disease

01083239A (IN)
2207RC0000XAllopathic & Osteopathic Physicians

Internal Medicine
Cardiovascular Disease

23750 (MS)
3207RC0001XAllopathic & Osteopathic Physicians

Internal Medicine
Clinical Cardiac Electrophysiology

312475 (PA)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Clear Silver - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Gold - HMO
  • Clear Gold + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Central Bronze - HMO
  • Central Bronze + Vision + Adult Dental - HMO
  • Central Gold - HMO
  • Central Gold + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Anthem Bronze Essential 6500 HSA (+ Incentives) - HMO
  • Anthem Bronze Essential 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Bronze Essential 9200 (+ Incentives) - HMO
  • Anthem Bronze Essential 9200 Adult Dental/Vision (+ Incentives) - HMO
  • Anthem Bronze Essential POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Bronze Essential POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Gold Essential 1500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Gold Essential 2200 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Heart Healthy Bronze Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Heart Healthy Silver Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Bronze First 7500 $25 Generic Drugs - HMO
  • Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
  • Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
  • Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
  • Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Gold 1500 $15 Generic Drugs - HMO
  • Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
  • HDHP Preventive Silver 5500 $0 Select Drugs - HMO
  • Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
07278029MEDICAID (05)MS 
P01590534OTHER (01)MSRAILROAD MEDICARE
01083239AOTHER (01)INLICENSE

Medicare Participation & PECOS Enrollment Status

Tanyanan Tanawuttiwat is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Tanyanan Tanawuttiwat is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 8820226269

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20200109001219

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Comprehensive electrophysiologic evaluation with catheter destruction of abnormality causing atrial fibrillation (uncoordinated contraction of upper chambers of heart) by pulmonary vein isolation

This is a procedure to treat atrial fibrillation, a condition causing irregular heartbeats. It involves a detailed heart evaluation using electrophysiology. A catheter is then used to destroy the problematic area causing the issue. Specifically, isolation of the pulmonary vein is done to regulate the heartbeat.

This service was performed 12 times for 12 patients

Established patient office or other outpatient visit, 30-39 minutes

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

This service was performed 22 times for 20 patients

Established patient office or other outpatient visit, 30-39 minutes

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

This service was performed 63 times for 53 patients

Established patient office or other outpatient visit, 40-54 minutes

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

This service was performed 11 times for 11 patients

Established patient office or other outpatient visit, 40-54 minutes

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

This service was performed 47 times for 43 patients

Evaluation of single, dual, multiple lead or leadless pacemaker system

An evaluation of a pacemaker system examines how well your heart device is working. Single, dual, multiple lead, or leadless refers to the wires that deliver electrical pulses from the pacemaker to your heart. This check ensures your heart is receiving the right amount of support from the device.

This service was performed 16 times for 13 patients

Evaluation of single, dual, multiple lead or leadless pacemaker system

An evaluation of a pacemaker system examines how well your heart device is working. Single, dual, multiple lead, or leadless refers to the wires that deliver electrical pulses from the pacemaker to your heart. This check ensures your heart is receiving the right amount of support from the device.

This service was performed 15 times for 14 patients

Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days

This procedure involves remotely monitoring your pacemaker or implantable defibrillator system. Over a 90-day period, we check the device's performance and your heart's activity. This helps ensure the device is functioning properly and providing the best possible support for your heart health.

This service was performed 51 times for 31 patients

Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days

This procedure evaluates your pacemaker system remotely for up to 90 days. It checks whether single, dual, multiple lead, or leadless pacemakers are working properly. It's a safe, convenient way to ensure your heart device is functioning optimally.

This service was performed 36 times for 21 patients

Follow-up hospital inpatient care per day, typically 35 minutes

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

This service was performed 106 times for 70 patients

Heart rhythm recording of continous external ekg over 8-15 days

A heart rhythm recording is a non-invasive procedure where a small device, attached externally, monitors your heart's electrical activity for 8-15 days. It helps detect irregular heart rhythms, assess heart rate, and guide treatment decisions. It's safe, painless, and can be done during normal daily activities.

This service was performed 19 times for 19 patients

Heart rhythm review and interpretation of continous external ekg over 8-15 days

This service involves wearing a device for 8-15 days that continuously records your heart's electrical activity. It helps in identifying irregular heart rhythms. The recorded data is then reviewed and interpreted by a healthcare professional for any abnormalities.

This service was performed 31 times for 31 patients

Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days

A heart rhythm review involves monitoring your heart's electrical activity for more than 48 hours up to 7 days. Using a device called an external EKG, doctors can track your heartbeats to detect irregularities and help diagnose heart conditions.

This service was performed 11 times for 11 patients

Initial hospital inpatient care per day, typically 50 minutes

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

This service was performed 20 times for 19 patients

Initial hospital inpatient care per day, typically 70 minutes

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

This service was performed 48 times for 48 patients

Insertion of pacemaker and upper and lower heart chamber electrode

A pacemaker insertion is a procedure where a small device, called a pacemaker, is implanted under your skin. This device uses electrical pulses to prompt the heart to beat at a normal rate. Electrodes are placed in the upper and lower chambers of your heart to help regulate your heartbeat.

This service was performed 19 times for 19 patients

New patient office or other outpatient visit, 45-59 minutes

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

This service was performed 20 times for 20 patients

New patient office or other outpatient visit, 60-74 minutes

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

This service was performed 17 times for 17 patients

Pacemaker insertion or repair

Pacemaker insertion or repair is a procedure to help regulate your heartbeat. A small device, called a pacemaker, is implanted under the skin near your heart. This device sends electrical signals to prompt your heart to beat at a normal rate. In a repair procedure, the pacemaker may be adjusted, replaced, or the wires connecting it to your heart may be fixed.

This service was performed for 47 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

This service was performed 59 times for 54 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

This service was performed 25 times for 25 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $30.62 for a new patient copayment and $23.55 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 46202 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $122.49
  • Minimum New Patient Price $53.07
  • Maximum New Patient Price $161.76
  • Average New Patient Copayment $30.62
  • Minimum New Patient Copayment $13.26
  • Maximum New Patient Copayment $40.44

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $94.22
  • Minimum Established Patient Price $16.93
  • Maximum Established Patient Price $132.22
  • Average Established Patient Copayment $23.55
  • Minimum Established Patient Copayment $4.23
  • Maximum Established Patient Copayment $33.05

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Tanyanan Tanawuttiwat is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
ESKENAZI HEALTH720 ESKENAZI AVENUE
INDIANAPOLIS, IN 46202
(317) 880-4818Acute Care Hospitals
INDIANA UNIVERSITY HEALTH1701 N SENATE BLVD
INDIANAPOLIS, IN 46202
(317) 962-2000Acute Care Hospitals
IU HEALTH WEST HOSPITAL1111 N RONALD REAGAN PKWY
AVON, IN 46123
(317) 217-3000Acute Care Hospitals

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1992980767
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
291821880712
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 8 + 2 + 1 + 8 + 8 + 0 + 7 + 1 + 2 + 24 = 73
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 73 = 77

The NPI number 1992980767 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1073570529EMERGENCY MEDICAL GROUP, INC.
Organization
Emergency Medicine1701 N SENATE BLVD METHODIST HOSP ER DEPT
INDIANAPOLIS, IN 46202
(317) 962-4836
1649218850 RICHARD L GILMOR M.D.
Individual
Radiology (Diagnostic Radiology)1701 N SENATE BLVD ROOM 1204A
INDIANAPOLIS, IN 46202
(317) 962-6793
1700825148 ROMMEL S DHADHA MD
Individual
Radiology (Diagnostic Radiology)1701 N SENATE BLVD ROOM 1204A
INDIANAPOLIS, IN 46202
(317) 962-6793
1942248471DR. DONALD R HAWES MD
Individual
Radiology (Diagnostic Radiology)1701 N SENATE BLVD ROOM 1204A
INDIANAPOLIS, IN 46202
(317) 962-6793
1477591931 MERVYN D COHEN MD
Individual
Radiology (Pediatric Radiology)1701 N SENATE BLVD ROOM 1204A
INDIANAPOLIS, IN 46202
(317) 962-5740
1881633667DR. BONNIE RILEY-GARRISON MD
Individual
Radiology (Diagnostic Radiology)1701 N SENATE BLVD ROOM 1204A
INDIANAPOLIS, IN 46202
(317) 962-6793
1982646014 C T FLETCHER M.D.
Individual
Emergency Medicine1701 N SENATE BLVD ER DEPT
INDIANAPOLIS, IN 46202
(317) 962-8888
1902848005 SUZANNE B COMBS M.D.
Individual
Emergency Medicine1701 N SENATE BLVD ER DEPT
INDIANAPOLIS, IN 46202
(317) 962-8880
1285677823 MARCIA R TAYLOR MD
Individual
Anesthesiology1701 N SENATE BLVD
INDIANAPOLIS, IN 46202
(317) 567-2179
1871536375DR. DAVID L BROWN MD
Individual
Radiology (Diagnostic Radiology)1701 N SENATE BLVD ROOM 1204A
INDIANAPOLIS, IN 46202
(317) 962-6793
1215970710DR. RICHARD T BUCK MD
Individual
Radiology (Diagnostic Radiology)1701 N SENATE BLVD ROOM 1204A
INDIANAPOLIS, IN 46202
(317) 962-6793
1073556106 JUSTIN L WASS MD
Individual
Radiology (Diagnostic Radiology)1701 N SENATE BLVD ROOM 1204A
INDIANAPOLIS, IN 46202
(317) 962-6793
1457394371DR. FREDERICK M KELVIN MD
Individual
Radiology (Diagnostic Radiology)1701 N SENATE BLVD ROOM 1204A
INDIANAPOLIS, IN 46202
(317) 962-6793
1750324737DR. DONALD S SCHAUWECKER MD
Individual
Radiology (Diagnostic Radiology)1701 N SENATE BLVD ROOM 1204A
INDIANAPOLIS, IN 46202
(317) 962-6793
1699718098 GONZALO T CHUA MD
Individual
Radiology (Nuclear Radiology)1701 N SENATE BLVD ROOM 1204A
INDIANAPOLIS, IN 46202
(317) 962-6793
1366478430 DONALD R HARDMAN M.D.
Individual
Radiology (Diagnostic Radiology)1701 N SENATE BLVD RADIOLOGY DEPT
INDIANAPOLIS, IN 46202
(317) 962-6793
1699705251 ASLAM R SIDDIQUI MD
Individual
Radiology (Diagnostic Radiology)1701 N SENATE BLVD ROOM 1204A
INDIANAPOLIS, IN 46202
(317) 962-6793
1427066281 ANNE PATRICK NP
Individual
Nurse Practitioner1701 N SENATE BLVD RM AG 001
INDIANAPOLIS, IN 46202
(317) 962-3886
1083773634 YOUNGSOOK THERESA OLSSON NP
Individual
Nurse Practitioner (Adult Health)1701 N SENATE BLVD RM AG 001
INDIANAPOLIS, IN 46202
(317) 962-3886
1447414388 ELIZABETH M JOHNSON LCSW
Individual
Social Worker (Clinical)1701 N SENATE BLVD C100
INDIANAPOLIS, IN 46202
(317) 962-2110

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1992980767, enumerated in the NPI registry as an "individual" on December 29, 2007

The provider is located at 1701 N Senate Blvd Heart Station A1089 Indianapolis, In 46202 and the phone number is (317) 962-8447

The provider's speciality is Internal Medicine with taxonomy code 207RC0001X with a focus in Clinical Cardiac Electrophysiology

The provider has more than 21 years of experience.

The provider might be accepting Accepts: Ambetter from Meridian, Ambetter Health, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $122.49 with an average copayment of $30.62 for new patient appointments. Established patients should expect a typical charge of $94.22 and an average copayment of 23.55. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Comprehensive electrophysiologic evaluation with catheter destruction of abnormality causing atrial fibrillation (uncoordinated contraction of upper chambers of heart) by pulmonary vein isolation, Established patient office or other outpatient visit, 30-39 minutes, Established patient office or other outpatient visit, 30-39 minutes, Established patient office or other outpatient visit, 40-54 minutes, Established patient office or other outpatient visit, 40-54 minutes, Evaluation of single, dual, multiple lead or leadless pacemaker system, Evaluation of single, dual, multiple lead or leadless pacemaker system, Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days, Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days, Follow-up hospital inpatient care per day, typically 35 minutes, Heart rhythm recording of continous external ekg over 8-15 days, Heart rhythm review and interpretation of continous external ekg over 8-15 days, Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days, Initial hospital inpatient care per day, typically 50 minutes, Initial hospital inpatient care per day, typically 70 minutes, Insertion of pacemaker and upper and lower heart chamber electrode, New patient office or other outpatient visit, 45-59 minutes, New patient office or other outpatient visit, 60-74 minutes, Pacemaker insertion or repair, Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only and Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes.

The practitioner is affiliated to the following hospital(s): ESKENAZI HEALTH, INDIANA UNIVERSITY HEALTH and IU HEALTH WEST HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on December 29, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.