CONAN VON CHITTICK MD NPI 1396004404

NPI Information

  • NPI: 1396004404
  • Provider Name: CONAN VON CHITTICK, MD
  • Classification: Family Medicine - 207QS0010X
  • Specialization: Sports Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1520 N SENATE AVE
    INDIANAPOLIS, IN
    ZIP 46202
  • Phone: (317) 962-5423

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NPI Details

Conan Von Chittick, MD is a sports medicine family medicine in Indianapolis, IN with 13 years of experience. The provider is a family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. Conan Von Chittick, MD NPI is 1396004404. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2012

The provider's business location address is:

1520 N SENATE AVE
INDIANAPOLIS, IN
ZIP 46202-213
Phone: (317) 962-5423
Fax: (317) 962-6722

The NPI 1396004404 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Aspiration and/or injection of fluid large joint using ultrasound guidance (HCPCS:20611)
  • Injection, methylprednisolone acetate, 40 mg (HCPCS:J1030)
  • Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Hemoglobin a1c level (HCPCS:83036)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Adm sarscv2 30mcg trs-sucr b (HCPCS:0054A)
  • Ultrasonic guidance for needle placement (HCPCS:76942)
  • Fee covid-19 vac 13 res (HCPCS:0124A)

The enumeration date for this NPI number is 5/9/2012 and was last updated on 9/23/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine01075578AINDIANANo
2390200000XStudent in an Organized Health Care Education/Training ProgramINDIANANo
3207QS0010XFamily MedicineSports Medicine01075578AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1264430444OTHERINDIANAMEDICARE PTAN
2000001029711OTHERINDIANAANTHEM PTAN
3000001029731OTHERINDIANAANTHEM PTAN
4201091300MEDICAIDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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