Individual provider Active NPI

Michael J Bojrab, M.D.

  • Emergency Medicine Physician
  • Fishers, IN
National Provider Identifier
1154777613
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
01081130A Issued in IN
Practice address
13000 E 136TH St
Fishers, IN 46037-9478
Phone
(317) 880-3900
Fax
(317) 880-0545
NPI assigned
May 13, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 35.132534 OH
Emergency Medicine Physician 207P00000X 301189-01 NY
Emergency Medicine Physician 207P00000X 01081130A IN Primary

Addresses

Primary practice location

13000 E 136TH St
Fishers, IN 46037-9478

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other practice location 1

6720 Kirkdale Dr
Fort Wayne, IN 46815-5524
Phone (260) 414-1409

Other identifiers 1

IdentifierTypeStateIssuer
300020025MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mbojrab@direct.iuhealth.org Direct

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
I20181001001831 IN Practitioner - Emergency MedicinePractitioner - Vascular Surgery 5597046656 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Vascular Surgery
Education
Indiana University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverview HospitalGroup PAC ID 1153216627, 209 clinicians

Practice addresses (Care Compare)

9690 E 116TH St
Riverview Health Freestanding Emergency Urg
Fishers, IN 46037-2838
Phone (317) 773-0760

Hospital & facility affiliations

  • Riverview Health Hospital, Noblesville, IN, CCN 150059

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
87.3 of 100Reported as group
Quality
70.94
Improvement activities
40
Cost
92.94

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
301189-01NYMDEmergency Medicine Physician
35.132534OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Professionals of Indiana, P.C. Emergency Medicine CurrentSince Aug 1, 2019 Accepting new patients
Lafayette Emergency Care, P.C. Emergency Medicine CurrentSince Sep 1, 2018 Accepting new patients
Clarksville Emergency Group, PC Emergency Medicine CurrentSince Dec 19, 2020 Accepting new patients
Indiana University Health Care Associates, Inc CurrentSince May 31, 2022 Accepting new patients
Indiana University Health Southern Indiana Physicians LLC CurrentSince Aug 1, 2021 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Aug 1, 2022 Accepting new patients
Riverview Hospital CurrentSince Nov 1, 2023 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Aug 1, 2022 Accepting new patients
Indiana University Health Southern Indiana Physicians, LLC Emergency Medicine CurrentSince Aug 1, 2021 Accepting new patients
Cep America LLC Emergency Medicine Current Accepting new patients
Professional Emergency Physicians PC Emergency Medicine CurrentSince Oct 15, 2020 Accepting new patients
Riverview Hospital Emergency Medicine CurrentSince Nov 1, 2023 Accepting new patients
Glutality Provider Group of New Jersey, PA. PastSince May 29, 2023 Accepting new patients
University Medical Diagnostic Associates, Inc. Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

5208 Reliable Pkwy
Chicago, IL 60686

7219 Solutions Ctr
Chicago, IL 60677

2015 Jackson St
Anderson, IN 46016
Phone (765) 646-8243

601 W 2nd St
Bloomington, IN 47403
Phone (812) 353-5252

727 W 2nd St
Bloomington, IN 47403
Phone (812) 353-3450

1141 Hospital Dr NW
Corydon, IN 47112
Phone (812) 738-7830

3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021

13000 E 136th St
Fishers, IN 46037
Phone (317) 678-2000

9690 E 116th St
Fishers, IN 46037
Phone (317) 214-5750

2200 Randallia Dr
Fort Wayne, IN 46805
Phone (260) 373-4000

1701 N Senate Blvd
Bldg C6
Indianapolis, IN 46202
Phone (913) 962-2000

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

5165 McCarty Ln
Lafayette, IN 47905
Phone (800) 899-8448

901 MacArthur Blvd
Munster, IN 46321
Phone (219) 703-1443

395 Westfield Rd
Noblesville, IN 46060
Phone (317) 218-3136

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

Interoperability endpoints

  • Direct secure messaging: mbojrab@direct.iuhealth.org
  • Direct secure messaging: mbojrab346458@ecommunitydirect.com

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 1

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": "1463097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1154777613",
    "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": "13000 E 136TH ST",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460379478",
            "telephone_number": "317-880-3900",
            "fax_number": "317-880-0545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6720 Kirkdale Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468155524",
            "country_code": "US",
            "telephone_number": "260-414-1409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOJRAB",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-13",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35.132534",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "301189-01",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01081130A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300020025",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mbojrab@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "13000 E 136th St",
            "city": "Fishers",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460379478",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

Verify at the official NPI Registry.