Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Indianapolis Perioperative Medicine

Organization Medical Physician Assistant · NPI 1720539075

Indianapolis Perioperative Medicine is a Medical Physician Assistant in Fishers, Indiana. Licensed in Indiana. Registered with an NPI since 2016.

Licensed in
IN
In the registry since
2016
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Practice location Address checks out

13000 E 136th St Ste 1100
Fishers, IN 46037-9478
Phone: (317) 513-0538
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 10002130A (IN)

Record details

NPI number1720539075
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Peter Caccavallo — Internal Medicine Physician · (317) 513-0538
NPI enumeratedOctober 21, 2016
Last updated in NPPESOctober 21, 2016
Mailing address13000 E 136th St, Ste. 1100, Fishers, IN 46037-9478

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