Dr. Polly Gerhardt Nicely , MD
General Practice • Indianapolis, IN
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Polly Nicely has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Polly Nicely, MD was a registered General Practice practicing in Indianapolis, IN. Throughout an active medical career spanning 16 years, Dr. Nicely provided care at the practice location at 6392 OXBOW WAY until profile deactivation on 2025-12-25.
Practice Location & Contact Primary Location
6392 Oxbow Way
Indianapolis, IN 462207109
Specialty Benchmarks & Practice Insights
Comparative analytics for General Practice in Indianapolis, IN
Practicing in Indianapolis, IN (190 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 208D00000X
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on December 25, 2025
NPI status registered as active in NPPES database
Registered at 6392 OXBOW WAY, INDIANAPOLIS, IN 462207109 (Tel: 3174751505)
Registered at 6392 OXBOW WAY, INDIANAPOLIS, IN 462207109 (Tel: 3174751505)
Recorded as POLLY NICELY, M.D.
General Practice (License #01026325A in IN)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
6392 Oxbow Way
Indianapolis, IN 462207109
Phone: 3174751505
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