Mihas Mamu Kodenchery, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

01072452A Issued in IN

Practice address

5800 Broadway
Suite a-J
Merrillville, IN 46410-2601

Phone

(219) 884-9185

NPI assigned

Jun 12, 2007

Last updated

Feb 9, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Cardiovascular Disease (Cardiology)Also: Internal Medicine

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Methodist Hospitals Cardiographics, LLCGroup PAC ID 0749244499, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Methodist Hospitals Inc Hospital, Gary, IN, CCN 150002
• Franciscan Health Crown Point Hospital, Crown Point, IN, CCN 150126
• St Mary Medical Center Inc Hospital, Hobart, IN, CCN 150034

Merit-based Incentive Payment System (MIPS)

Final score

78.64 of 100Reported as group

Quality

56.64

Promoting interoperability

73

Improvement activities

40

Cost

76.72

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mkodenchery56974@themethodisthospitals.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Methodist Hospitals Cardiographics, LLC

  • Cardiovascular Disease Physician
  • Merrillville, IN
  • NPI 1609825686
  Medicare reassignment Care Compare group NPD
• The Methodist Hospitals, Inc

  dba Methodist Northlake Physicians

  • Internal Medicine Physician
  • Gary, IN
  • NPI 1720290349
  Medicare reassignment NPD
• The Methodist Hospitals, Inc

  dba The Neuroscience Institute of NWI

  • Neurology Physician
  • Gary, IN
  • NPI 1720290588
  NPD
• The Methodist Hospitals, Inc

  dba Methodist Cardiology Services

  • Cardiovascular Disease Physician
  • Gary, IN
  • NPI 1912573585

  Internal Medicine

  NPD
• The Methodist Hospitals, Inc.

  dba Methodist Surgical Services

  • Surgery Physician
  • Gary, IN
  • NPI 1609104033
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Franciscan Health Crown Point

  • General Acute Care Hospital
  • Crown Point, IN
  • NPI 1336205798
  Care Compare affiliation
• St Mary Medical Center Inc

  • General Acute Care Hospital
  • Hobart, IN
  • NPI 1558463745
  Care Compare affiliation
• St Mary Medical Center Inc

  dba St Mary Wound Clinic

  • General Acute Care Hospital
  • Hobart, IN
  • NPI 1962504175
  Care Compare affiliation
• The Methodist Hospitals, Inc

  • General Acute Care Hospital
  • Gary, IN
  • NPI 1467504555
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391904000000",
    "number": "1013111475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 BROADWAY",
            "address_2": "SUITE A-J",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464102601",
            "telephone_number": "219-884-9185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 BROADWAY",
            "address_2": "SUITE A-J",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464102601",
            "telephone_number": "219-884-9185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KODENCHERY",
        "first_name": "MIHAS",
        "middle_name": "MAMU",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-12",
        "last_updated": "2014-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": "4301087486",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301087486",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "01072452A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Kmak, DDS
• Abigail Knipp, RBT
• Knox Diagnostics, LLC
• Lauren Kobialka, RBT
• Aneta Kocoska, RBT
• Jennifer Lynn Kohn, O.D.
• Lisa Kolodziej
• Crystal Komacsar, LCAC
• Brittnee Konja
• Faith Konja, RBT

• Cardiovascular Disease Physician in Merrillville, IN
• Providers in Merrillville, IN by specialty
• Cardiovascular Disease Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.