Individual provider Active NPI

Burke W Mamlin, MD

  • Internal Medicine Physician
  • Indianapolis, IN
National Provider Identifier
1144288051
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01047932A Issued in IN
Practice address
720 Eskenazi Ave FL 2
Indianapolis, IN 46202-5189
Phone
(317) 880-7000
Fax
(317) 880-0526
NPI assigned
May 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01047932A IN Primary

Addresses

Primary practice location

720 Eskenazi Ave FL 2
Indianapolis, IN 46202-5189

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other identifiers 1

IdentifierTypeStateIssuer
200231540MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bmamlin16368@direct.eskenazihealth.edu

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
I20100514000259 IN Practitioner - Internal MedicinePractitioner - Preventive Medicine 3476681297 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Preventive Medicine
Education
Indiana University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eskenazi Medical Group IncGroup PAC ID 4284546813, 134 clinicians

Practice addresses (Care Compare)

720 Eskeanzi Ave
Indianapolis, IN 46202-5166
Phone (317) 880-0000

720 Eskenazi Ave
Indianapolis, IN 46202-5187
Phone (317) 880-7666

720 Eskenazi Ave FL
5 OB/GYN Clinic
Indianapolis, IN 46202-5189
Phone (317) 880-6000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.69 of 100Reported as group
Quality
80.42
Promoting interoperability
100
Improvement activities
40
Cost
81.89

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
94.43
Promoting interoperability
100
Improvement activities
40
Cost
82.74

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Health and Hospital Corporation of Marion County CurrentSince Mar 27, 2011 Accepting new patients
Indiana University Health Care Associates, Inc Past Accepting new patients
Major Hospital Past Accepting new patients

Locations

720 Eskenazi Ave
Fl 3
Indianapolis, IN 46202
Phone (317) 880-3900

720 Eskenazi Ave
Fl 2
Indianapolis, IN 46202
Phone (317) 278-5316

720 Eskenazi Ave
Bldg 5TH
Indianapolis, IN 46202
Phone (317) 880-3818

2732 W Michigan St
Indianapolis, IN 46222
Phone (317) 554-4600

5515 W 38th St
Indianapolis, IN 46254
Phone (317) 880-3838

720 Eskenazi Ave
Indianapolis, IN 46202
Phone (317) 880-0000

3840 N Sherman Dr
Indianapolis, IN 46226
Phone (317) 541-3400

720 Eskenazi Ave
Fl 5
Indianapolis, IN 46202
Phone (317) 880-6000

Interoperability endpoints

  • Direct secure messaging: bmamlin@direct.iuhealth.org
  • Direct secure messaging: bmamlin16368@direct.eskenazihealth.edu

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1144288051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 ESKENAZI AVE FL 2",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462025189",
            "telephone_number": "317-880-7000",
            "fax_number": "317-880-0526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAMLIN",
        "first_name": "BURKE",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01047932A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200231540",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bmamlin16368@direct.eskenazihealth.edu",
            "affiliation": "N",
            "address_1": "720 Eskenazi Ave Fl 2",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462025189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.