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

Mr. Chong H Nicholls, MD

Individual provider Anesthesiology Physician · NPI 1902850068

Mr. Chong H Nicholls, MD is an Anesthesiology Physician in Indianapolis, Indiana. Works from 3 locations. Licensed in California, Colorado, Indiana and Ohio.

Licensed in
CA, CO, IN, OH
In the registry since
2006
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

8075 N Shadeland Ave Ste 200
Indianapolis, IN 46250-2694
Phone: (317) 621-8500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 624 Hospital Drive, Mountain Home, AR 72653-2955 — (870) 508-1000
  • 1200 Ralston Ave, Defiance, OH 43512-1396 — (419) 783-6944

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 01073755A (IN)
Anesthesiology Physician Taxonomy 207L00000X · Licence 37081 (CO)
Anesthesiology Physician Taxonomy 207L00000X · Licence 35.129284 (OH)
Anesthesiology Physician Taxonomy 207L00000X · Licence A80622 (CA)

Record details

NPI number1902850068
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 20, 2006
Last updated in NPPESJune 5, 2024
Certification dateJune 5, 2024

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