Provider Demographics
NPI:1457375685
Name:BATLER, ROBERT A (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:A
Last Name:BATLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:679 E COUNTY LINE RD
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46143-1049
Mailing Address - Country:US
Mailing Address - Phone:317-807-1262
Mailing Address - Fax:317-859-4268
Practice Address - Street 1:12188 A NORTH MERIDIAN ST
Practice Address - Street 2:SUITE # 200
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-4410
Practice Address - Country:US
Practice Address - Phone:317-564-5100
Practice Address - Fax:317-564-5556
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01057097A208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100194370OtherMEDICAID GROUP NUMBER
IN1487680518OtherGROUP NPI
IN200288740OtherMEDICAID GROUP NUMBER
IN200423690Medicaid
IN340020735OtherMEDICARE RAILROAD
IN000000284687OtherANTHEM PIN NUMBER
IN200423690Medicaid
IN200288740OtherMEDICAID GROUP NUMBER
IN340020735OtherMEDICARE RAILROAD
IN896480WMedicare PIN
IN318870SMedicare PIN
IN345000RMedicare PIN