MEDICARE: ROBERT M MENEGHINI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	01059735A	IN
2	207XS0114X	Adult Reconstructive Orthopaedic Surgery Physician	01059735	IN
3	207X00000X	Orthopaedic Surgery Physician	046288	CT

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P01002398	OTHER	IN	RAILROAD MEDICARE PTAN
3	M400021360	OTHER	IN	MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2555480	OTHER	IN	UHC
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	000000373182	OTHER	IN	BCBS
6	7262751	OTHER	IN	AETNA

General Provider Information

NPI Number	:	1356325187
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT M MENEGHINI MD

Provider Business Mailing Address
First Line	:	950 N MERIDIAN ST
Second Line	:	STE 500
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46204-3908
Country	:	US
Telephone Number	:	317-962-4944
Fax Number	:	317-962-4950

Provider Business Practice Location Address
First Line	:	200 W 103RD ST
Second Line	:	STE 1400
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46290-1018
Country	:	US
Telephone Number	:	317-688-5980
Fax Number	:	317-566-2736

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/05/2005
Last Update Date	:	01/31/2024

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Directions to “ ROBERT M MENEGHINI MD” Practice Location

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