Active NPI
Charles Mok Jr., DO
- Family Medicine Physician
- Griffith, IN
National Provider Identifier
1205828258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 02002327A
- 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, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 02002327A | IN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New 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
- 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.
-
dba Franciscan Physician Network
- Multi-Specialty Clinic/Center
- Crown Point, IN
- NPI 1568402774
-
dba St Margaret Mercy Behavioral Health Outpatient Center
- Psychiatry Physician
- Munster, IN
- NPI 1861564361
-
dba St. Margaret Home Care
- Home Health Agency
- Lansing, IL
- NPI 1831194182
-
- Psychiatric Hospital Unit
- Palos Heights, IL
- NPI 1184699118
-
- General Acute Care Hospital
- Palos Heights, IL
- NPI 1851386692
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.