Individual
ROLF KREUTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1800 N CAPITOL AVE, ME 400, INDIANAPOLIS, IN 46202-1218
(317) 962-0095
Mailing address
PO BOX 44994, INDIANAPOLIS, IN 46244-0994
(317) 274-4402
(317) 278-1302
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01065788A
IN
207RC0000X
Cardiovascular Disease Physician
01065788A
IN
207RI0011X
Interventional Cardiology Physician
Primary
01065788A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000657503
ANTHEM PTAN
IN
01
—
000000666699
ANTHEM PTAN
IN
05
—
200982560
—
IN
Enumeration date
06/03/2008
Last updated
09/23/2025
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