Individual provider Active NPI

Charles Mok Jr., DO

  • Family Medicine Physician
  • Griffith, IN
National Provider Identifier
1205828258
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
02002327A Issued in IN
Practice address
1573 N Cline Ave
Griffith, IN 46319-1567
Phone
(219) 838-2312
Fax
(219) 972-7177
NPI assigned
Aug 16, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 02002327A IN Primary

Addresses

Primary practice location

1573 N Cline Ave
Griffith, IN 46319-1567

Mailing address

1573 N Cline Ave
Griffith, IN 46319-1567
Phone (219) 838-2312

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 Osteopathy

State licenses

LicenseStateTypeSpecialty
02002327AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Palos Community Hospital Past Accepting new patients
St Anthony Medical Center Past Accepting new patients
Franciscan Health Dyer & Hammond Past Accepting new patients
Palos Community Hospital Past Accepting new patients
St Margaret Mercy Healthcare Centers Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: cmok64169@direct.franciscanalliance.org

Organizations & group practices 5

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": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1205828258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1573 N CLINE AVE",
            "city": "GRIFFITH",
            "state": "IN",
            "postal_code": "463191567",
            "telephone_number": "219-838-2312",
            "fax_number": "219-972-7177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1573 N CLINE AVE",
            "city": "GRIFFITH",
            "state": "IN",
            "postal_code": "463191567",
            "telephone_number": "219-838-2312",
            "fax_number": "219-972-7177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOK",
        "first_name": "CHARLES",
        "name_suffix": "Jr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "02002327A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Griffith, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.