Indianapolis Perioperative Medicine
NPI 1720539075ActiveOrganization· Physician Assistant, Medical· Fishers, IN
Physician Assistant, Medical in Fishers, Indiana, registered in NPPES in October 2016. The authorized official on file is Peter Caccavallo, M.D., Internal Medicine Physician.
Overview
| NPI | 1720539075 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 21, 2016 |
| Last updated in NPPES | Oct 21, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | 10002130A | IN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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