Individual provider Active NPI

Michael Joseph Pankratz, M.D.

  • Ophthalmology Physician
  • Columbus, IN
National Provider Identifier
1043265093
Registry record updated Jul 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
01051787A Issued in IN
Practice address
3135 Middle Road
Columbus, IN 47203-4472
Phone
(812) 373-7777
Fax
(812) 373-0772
NPI assigned
May 24, 2006
Last updated
Jul 22, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 01051787A IN Primary

Addresses

Primary practice location

3135 Middle Road
Columbus, IN 47203-4472

Mailing address

3135 Middle Road
Columbus, IN 47203-4472
Phone (812) 373-7777

Other identifiers 1

IdentifierTypeStateIssuer
200281200AMedicaidIN

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050630000721 IN Practitioner - Ophthalmology 9133165038 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Indiana University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pankratz Medical LLCGroup PAC ID 3870864283, 2 clinicians

Practice addresses (Care Compare)

3135 Middle Dr
Columbus, IN 47203-4472
Phone (812) 373-7777

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.81 of 100Reported as group
Quality
100
Improvement activities
40
Cost
56.04

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery514

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01051787AINMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pankratz Eye Institute, LLC CurrentSince Jul 26, 2005 Accepting new patients
Pankratz Medical LLC Ophthalmology CurrentSince Jul 1, 2017 Accepting new patients
Pankratz Eye Institute, LLC Ophthalmology CurrentSince Jul 26, 2005 Accepting new patients
Major Hospital Ophthalmology Past Accepting new patients

Locations

3135 Middle Rd
Columbus, IN 47203
Phone (812) 373-7777

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248220800000",
    "number": "1043265093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3135 MIDDLE ROAD",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472034472",
            "telephone_number": "812-373-7777",
            "fax_number": "812-373-0772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3135 MIDDLE ROAD",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472034472",
            "telephone_number": "812-373-7777",
            "fax_number": "812-373-0772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANKRATZ",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2009-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": "01051787A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200281200A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, IN

Sources for this page

Verify at the official NPI Registry.