Active NPI
Infants in Bloom
- Pediatrics Physician
- Madison, IN
National Provider Identifier
1003649872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- INFANTS IN BLOOM
- Practice address
- 601 West Street
Suite B
Madison, IN 47250-3344 - Phone
- (812) 599-6620
- NPI assigned
- Aug 26, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Megan Mouser
- Title
- Executive Director
- Phone
- (812) 820-4055
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
601 West Street
Suite B
Madison, IN 47250-3344
Mailing address
PO Box 795
Hanover, IN 47243-0795
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689960429 | Medicaid | IN | |
| 1376577767 | Medicaid | IN |
National Provider Directory
National Provider DirectoryLocations
601 West St
Ste B
Madison, IN 47250
Phone (812) 599-6620
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724630400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1737936000000",
"number": "1003649872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 795",
"city": "HANOVER",
"state": "IN",
"postal_code": "472430795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 WEST STREET",
"address_2": "SUITE B",
"city": "MADISON",
"state": "IN",
"postal_code": "472503344",
"telephone_number": "812-599-6620"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INFANTS IN BLOOM",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-26",
"last_updated": "2025-01-27",
"certification_date": "2025-01-24",
"status": "A",
"authorized_official_last_name": "MOUSER",
"authorized_official_first_name": "MEGAN",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "812-820-4055"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1689960429",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1376577767",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Madison, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.