Active NPI
Jothiharan Mahenthiran, M.D.
- Cardiovascular Disease Physician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 01054396
- Practice address
- 8075 N Shadeland Ave
Suite 200
Indianapolis, IN 46250-2693 - Phone
- (317) 621-8500
- Fax
- (317) 621-8501
- NPI assigned
- Apr 17, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | 01054396A | IN | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 01054396A | IN | |
| Cardiovascular Disease Physician | 207RC0000X | 01054396 | IN | Primary |
Addresses
Primary practice location
8075 N Shadeland Ave
Suite 200
Indianapolis, IN 46250-2693
Mailing address
6626 E 75TH St
Suite 500
Indianapolis, IN 46250-2805
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01214701 | Other | IN | RR MEDICARE PTAN |
| 200355740 | Medicaid | IN | |
| P01019183 | Other | IN | RR MEDICARE PIN |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8075 N Shadeland Ave
Indianapolis, IN 46250-2693
Phone (317) 621-8000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01054396 | IN | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Physician Network Specialty Care LLC | Cardiovascular Disease | Current | Accepting new patients |
| Community Physicians of Indiana Inc | Current | Accepting new patients | |
| Community Physicians of Indiana Inc | Current | Accepting new patients | |
| Indiana University Radiology Associates, Inc. | Current | Accepting new patients | |
| University Medical Diagnostic Associates, Inc. | Cardiovascular Disease | Current | Accepting new patients |
| University Group Medical Associates, P.C | Past | Accepting new patients | |
| Major Hospital | Past | Accepting new patients | |
| Indiana Radiology Partners, Inc | Past | Accepting new patients |
Locations
5819 Reliable Pkwy
Chicago, IL 60686
7301 Solutions Ctr
Chicago, IL 60677
5918 Reliable Pkwy
Chicago, IL 60686
5924 Reliable Pkwy
Chicago, IL 60686
11725 Illinois St
Ste 355
Carmel, IN 46032
Phone (317) 814-4533
1701 Senate Blvd
#C6
Indianapolis, IN 46202
Phone (317) 962-9000
8075 N Shadeland Ave
Ste 200
Indianapolis, IN 46250
Phone (317) 621-8000
1801 Senate Blvd
Ste 4000
Indianapolis, IN 46202
Phone (317) 962-0500
550 University Blvd
Indianapolis, IN 46202
Phone (217) 274-5000
720 Eskenazi Ave
Indianapolis, IN 46202
Phone (317) 880-0000
1315 N Arlington Ave
Ste 100
Indianapolis, IN 46219
Phone (317) 322-2392
7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444
6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547
8075 N Shadeland Ave
Ste 310
Indianapolis, IN 46250
Phone (317) 621-8000
8075 N Shadeland Ave
Indianapolis, IN 46250
Phone (317) 621-8000
2209 John R Wooden Dr
Martinsville, IN 46151
Phone (765) 342-3364
325 Westfield Rd
Ste A
Noblesville, IN 46060
Phone (317) 353-9336
Interoperability endpoints
- jmahenthiran7176@ecommunitydirect.com
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Indianapolis, IN
- NPI 1588535496
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1619105244
-
- Diagnostic Radiology Physician
- Indianapolis, IN
- NPI 1336192665
-
- Endocrinology, Diabetes & Metabolism Physician
- Carmel, IN
- NPI 1992396337
-
- Internal Medicine Physician
- Indianapolis, IN
- NPI 1861441537
Cardiovascular Disease
-
- Diagnostic Radiology Physician
- Indianapolis, IN
- NPI 1497712160
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
-
- Diagnostic Radiology Physician
- Brooklyn, NY
- NPI 1285683102
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1336119478
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1619163854
-
- General Acute Care Hospital
- Anderson, IN
- NPI 1972500452
-
- General Acute Care Hospital
- Kokomo, IN
- NPI 1902878994
-
- General Acute Care Hospital
- Greenfield, IN
- NPI 1467485003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623369600000",
"number": "1093779910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6626 E 75TH ST",
"address_2": "SUITE 500",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462502805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8075 N SHADELAND AVE",
"address_2": "SUITE 200",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462502693",
"telephone_number": "317-621-8500",
"fax_number": "317-621-8501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHENTHIRAN",
"first_name": "JOTHIHARAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-17",
"last_updated": "2021-06-11",
"certification_date": "2021-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "IN",
"license": "01054396A",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "IN",
"license": "01054396A",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IN",
"license": "01054396",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE PTAN",
"identifier": "P01214701",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200355740",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE PIN",
"identifier": "P01019183",
"state": "IN"
}
],
"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 Jun 11, 2021; 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.