Individual
MR. RODERICK NISI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1601 MEDICAL ARTS BLVD, SUITE 102, ANDERSON, IN 46011-3458
(765) 298-4720
(765) 298-4958
Mailing address
6626 E 75TH ST, STE 500, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
01036283
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000085348
ANTHEM
IN
01
—
100009521
RAILROAD MEDICARE
IN
01
—
10004427
TCARE
IN
05
—
100176670
—
IN
05
—
100176670B
—
IN
05
—
64042377
—
KY
01
—
P01512511
MEDICARE RR
IN
Enumeration date
10/18/2006
Last updated
11/16/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us