NPIMap

Organization Active NPI

Sellersburg Internal Medicine & Pediatrics

  • Family Medicine Physician
  • Sellersburg, IN
National Provider Identifier
1215062971
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SELLERSBURG INTERNAL MEDICINE & PEDIATRICS
Practice address
130 Hunter Station Way
Suite 202
Sellersburg, IN 47172
Phone
(812) 248-0800
Fax
(812) 248-0805
NPI assigned
Feb 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Michael C Harper, M.D.NPI 1487615415
Title
Owner
Phone
(812) 248-0800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X

Addresses

Primary practice location

130 Hunter Station Way
Suite 202
Sellersburg, IN 47172

Mailing address

130 Hunter Station Way
Suite 202
Sellersburg, IN 47172
Phone (812) 248-0800

Other identifiers 3

IdentifierTypeStateIssuer
MICHAEL C. HARPERMedicaidIN
DAVID C. WHITEMedicaidIN
JEANNE M. GREENMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080909000097 IN Part B Supplier - Clinic/Group Practice 1850467200 Receives reassigned benefits from 8 practitioners
Practice locations: Sellersburg, IN

National Provider Directory

National Provider Directory

Locations

130 Hunter Station Way
Ste 202
Sellersburg, IN 47172
Phone (812) 248-0800

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2852/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1215062971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 HUNTER STATION WAY",
            "address_2": "SUITE 202",
            "city": "SELLERSBURG",
            "state": "IN",
            "postal_code": "47172",
            "telephone_number": "812-248-0800",
            "fax_number": "812-248-0805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 HUNTER STATION WAY",
            "address_2": "SUITE 202",
            "city": "SELLERSBURG",
            "state": "IN",
            "postal_code": "47172",
            "telephone_number": "812-248-0800",
            "fax_number": "812-248-0805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELLERSBURG INTERNAL MEDICINE & PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "HARPER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-248-0800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MICHAEL C. HARPER",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DAVID C. WHITE",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "JEANNE M. GREEN",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sellersburg, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.