Organization Active NPI

Infants in Bloom

  • Pediatrics Physician
  • Madison, IN
National Provider Identifier
1003649872
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
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

Updated by the provider on Jan 27, 2025

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)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1689960429MedicaidIN
1376577767MedicaidIN

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.