Individual provider Active NPI

Michael W. Lane, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Indianapolis, IN
National Provider Identifier
1073573465
Registry record updated Nov 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
01066599A Issued in IN
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, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
44281TNMDSpecialist
01066599AINMDPhysical Medicine & Rehabilitation Physician
0101235883VAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.