Active NPI
Gulminay Mohsin, MD
- Internal Medicine Physician
- Indianapolis, IN
National Provider Identifier
1194977660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 01073658A
- Practice address
- 1120 W Michigan St # Cl380B
Indianapolis, IN 46202-5209 - Phone
- (317) 278-7826
- NPI assigned
- Oct 16, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | 01073658A | IN | Primary |
Addresses
Primary practice location
1120 W Michigan St # Cl380B
Indianapolis, IN 46202-5209
Mailing address
1120 W Michigan St # Cl380B
Indianapolis, IN 46202-5209
Phone (317) 278-7826
Other practice location 1
1601 Medical Arts Blvd
Suite 50/51
Anderson, IN 46011-3458
Phone (765) 298-4180
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201260030 | Medicaid | IN | |
| P01405436 | Other | IN | RR MEDICARE |
Other names 1
- Gulminay Munir
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | gmohsin130804@eCommunityDirect.com | Community Physicians of Indiana Inc |
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 |
|---|---|---|---|
| 01073658A | IN | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inpatient Consultants of Missouri Inc | Internal Medicine | Past | Accepting new patients |
Interoperability endpoints
- gmohsin130804@ecommunitydirect.com
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1194779579
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625184000000",
"number": "1194977660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 W MICHIGAN ST # CL380B",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462025209",
"telephone_number": "317-278-7826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 W MICHIGAN ST # CL380B",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462025209",
"telephone_number": "317-278-7826"
}
],
"practiceLocations": [
{
"address_1": "1601 Medical Arts Blvd",
"address_2": "Suite 50/51",
"address_purpose": "LOCATION",
"city": "Anderson",
"state": "IN",
"postal_code": "460113458",
"country_code": "US",
"telephone_number": "765-298-4180",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOHSIN",
"first_name": "GULMINAY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-16",
"last_updated": "2021-07-02",
"certification_date": "2021-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01073658A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201260030",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01405436",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "gmohsin130804@eCommunityDirect.com",
"affiliation": "Y",
"affiliationName": "Community Physicians of Indiana Inc",
"address_1": "1601 Medical Arts Blvd",
"address_2": "Suite 50/51",
"city": "Anderson",
"state": "IN",
"country_code": "US",
"postal_code": "460113458",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "GULMINAY",
"last_name": "MUNIR",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
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 Jul 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.