Mohsin Mukhtar, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

01092593A Issued in IN

Practice address

1120 W Michigan St # Cl630
Indianapolis, IN 46202-5209

Phone

(317) 278-2689

Fax

(317) 278-2650

NPI assigned

Apr 14, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IN, OH, FL3 enrollments

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 3

Specialty

Diagnostic Radiology

Education

Indiana University School of Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Proscan NCH Imaging LLCGroup PAC ID 6103233051, 104 clinicians

Indiana University Radiology Associates IncGroup PAC ID 7315922267, 213 clinicians

Iu Health Medical Group LLCGroup PAC ID 9638617913, 4,382 clinicians

Proscan Radiology, LLCGroup PAC ID 5799680807, 59 clinicians

Decatur County Memorial HospitalGroup PAC ID 7315837671, 128 clinicians

Radiology of Indiana P CGroup PAC ID 0648161430, 122 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Franciscan Health Indianapolis Hospital, Indianapolis, IN, CCN 150162
• Indiana University Health Arnett Hospital Hospital, Lafayette, IN, CCN 150173
• Indiana University Health Hospital, Indianapolis, IN, CCN 150056
• Community Hospital East Hospital, Indianapolis, IN, CCN 150074
• Indiana University Health Ball Memorial Hospital Hospital, Muncie, IN, CCN 150089

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

Interoperability endpoints

• Direct secure messaging: mmukhtar@direct.iuhealth.org
• Direct secure messaging: mmukhtar40395@direct.eskenazihealth.edu

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.

• Decatur County Memorial Hospital

  • Critical Access Hospital
  • Greensburg, IN
  • NPI 1952300477
  Medicare reassignment Care Compare group NPD
• Indiana University Radiology Associates, Inc.

  • Diagnostic Radiology Physician
  • Indianapolis, IN
  • NPI 1336192665
  Medicare reassignment Care Compare group NPD
• Iu Health Medical Group, LLC

  • General Practice Physician
  • Indianapolis, IN
  • NPI 1326893777
  Medicare reassignment Care Compare group NPD
• Radiology of Indiana P C

  • Diagnostic Radiology Physician
  • Indianapolis, IN
  • NPI 1992723829
  Medicare reassignment Care Compare group NPD
• Proscan NCH Imaging LLC

  • Diagnostic Radiology Physician
  • Naples, FL
  • NPI 1003406711
  Medicare reassignment Care Compare group NPD
• Proscan Radiology, LLC

  • Diagnostic Radiology Physician
  • Cincinnati, OH
  • NPI 1588654610
  Medicare reassignment Care Compare group NPD
• CT at Midtown

  • Diagnostic Radiology Physician
  • Cincinnati, OH
  • NPI 1508856667
  Medicare reassignment NPD
• Decatur County Memorial Hospital

  dba Decatur County Family Medicine

  • Rural Health Clinic/Center
  • Greensburg, IN
  • NPI 1437900800
  NPD
• Decatur County Memorial Hospital

  dba Decatur County Memorial Hospital Medical Group

  • General Practice Physician
  • Greensburg, IN
  • NPI 1619193505
  NPD
• Hancock Health Gateway Services Inc

  dba Gateway Imaging

  • Physiological Laboratory
  • Greenfield, IN
  • NPI 1134696099
  NPD
• Proscan Imaging of Greenwood, LLC

  • Radiology Clinic/Center
  • Greenwood, IN
  • NPI 1326695479

  Diagnostic Radiology

  NPD
• Proscan Imaging of Indianapolis, LLC

  dba ProScan Imaging of Avon

  • Diagnostic Radiology Physician
  • Avon, IN
  • NPI 1043370174
  NPD

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

• Community Health Network, Inc

  • General Acute Care Hospital
  • Indianapolis, IN
  • NPI 1336119478
  Care Compare affiliation
• Franciscan Health Indianapolis & Mooresville

  dba Franciscan Health Indianapolis Orthopedic Hospital

  • General Acute Care Hospital
  • Carmel, IN
  • NPI 1376214981
  Care Compare affiliation
• Franciscan Health Indianapolis & Mooresville

  dba Franciscan Health - Indianapolis

  • General Acute Care Hospital
  • Indianapolis, IN
  • NPI 1386749893
  Care Compare affiliation
• Indiana University Health Arnett Inc

  dba IU Health Arnett Hospital

  • General Acute Care Hospital
  • Lafayette, IN
  • NPI 1326296211
  Care Compare affiliation
• Indiana University Health Ball Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Muncie, IN
  • NPI 1225195340
  Care Compare affiliation
• Indiana University Health Inc

  dba Indiana University Health

  • General Acute Care Hospital
  • Indianapolis, IN
  • NPI 1144266024
  Care Compare affiliation

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

{
    "created_epoch": "1555200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1043773260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 W MICHIGAN ST # CL630",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462025209",
            "telephone_number": "317-278-2689",
            "fax_number": "317-278-2650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 W MICHIGAN ST # CL630",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462025209",
            "telephone_number": "317-278-2689",
            "fax_number": "317-278-2650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 N Senate Blvd",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462021239",
            "country_code": "US",
            "telephone_number": "317-962-6793",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUKHTAR",
        "first_name": "MOHSIN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-14",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "01092593A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmukhtar@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1701 N Senate Blvd",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462021239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Emmah W Muita
• Denford Mujeye, FNP
• Salman Ibn Mujtaba, MD
• Yousif Mukatash
• Hasan Mukhtar, DO
• Lawrance Tinofara Mukona, MD
• Loice Mukona
• Mildred Mukorombindo
• Esther Mukunthan, PT385826
• Senthil V. Mukunthan, P.T.

• Diagnostic Radiology Physician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Diagnostic Radiology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; 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.