Active NPI
Michael W. Lane, M.D.
- Physical Medicine & Rehabilitation Physician
- Indianapolis, IN
National Provider Identifier
1073573465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 01066599A
- Practice address
- 5035 W. 71St St., Ste E
Indianapolis, IN 46228 - Phone
- (317) 291-0100
- Fax
- (317) 291-2501
- NPI assigned
- Mar 28, 2006
- Last updated
- Nov 5, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 44281 | TN | |
| Physical Medicine & Rehabilitation Physician | 208100000X | 01066599A | IN | Primary |
| Physical Medicine & Rehabilitation Physician | 208100000X | 0101235883 | VA |
Addresses
Primary practice location
5035 W. 71St St., Ste E
Indianapolis, IN 46228
Mailing address
1515 N State St
Greenfield, IN 46140
Phone (317) 467-4300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44281 | TN | MD | Specialist |
| 01066599A | IN | MD | Physical Medicine & Rehabilitation Physician |
| 0101235883 | VA | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ortho Sport & Spine Physicians of Mississippi, LLC | Physical Medicine & Rehabilitation | Past | Accepting new patients |
| Rehabilitation Hospital of Indiana, Inc. | Past | Accepting new patients | |
| Rehabilitation Physicians of Indiana LLC | Past | Accepting new patients | |
| Ortho Sport & Spine Physicians of Tennessee, PLLC | Physical Medicine & Rehabilitation | Past | Accepting new patients |
| Sheltering Arms Hospital South, Inc. | Physical Medicine & Rehabilitation | Past | Accepting new patients |
| Ortho Sport & Spine Physicians of Louisiana, LLC | Physical Medicine & Rehabilitation | Past | Accepting new patients |
Organizations & group practices 6
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.
-
- Rehabilitation Hospital
- Indianapolis, IN
- NPI 1255406369
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Indianapolis, IN
- NPI 1356566137
-
- Clinic/Center
- Baton Rouge, LA
- NPI 1891488110
Physical Medicine & Rehabilitation
-
- Physical Medicine & Rehabilitation Physician
- Jackson, MS
- NPI 1073221545
-
- Physical Medicine & Rehabilitation Physician
- Nashville, TN
- NPI 1821706979
-
- Rehabilitation Hospital
- Midlothian, VA
- NPI 1881631943
Physical Medicine & Rehabilitation
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288915200000",
"number": "1073573465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 N STATE ST",
"city": "GREENFIELD",
"state": "IN",
"postal_code": "46140",
"telephone_number": "317-467-4300",
"fax_number": "317-467-4302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5035 W. 71ST ST., STE E",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "46228",
"telephone_number": "317-291-0100",
"fax_number": "317-291-2501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANE",
"first_name": "MICHAEL",
"middle_name": "W.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-28",
"last_updated": "2010-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TN",
"license": "44281",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "IN",
"license": "01066599A",
"primary": true
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "VA",
"license": "0101235883",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.