Individual provider Active NPI

Mahlon B Prather, PA

  • Physician Assistant
  • Fishers, IN
National Provider Identifier
1235065558
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10005455A Issued in IN
Practice address
14300 E 138TH St BLDG a
Fishers, IN 46037-0087
Phone
(317) 813-1660
Fax
(317) 813-1667
NPI assigned
Jun 23, 2026
Last updated
Aug 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10005455A IN Primary

Addresses

Primary practice location

14300 E 138TH St BLDG a
Fishers, IN 46037-0087

Mailing address

679 E County Line Rd
Greenwood, IN 46143-1049
Phone (317) 890-2000

Other practice location 1

11380 Illinois St
Carmel, IN 46032-9840
Phone (317) 890-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1782172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1235065558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "679 E COUNTY LINE RD",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461431049",
            "telephone_number": "317-890-2000",
            "fax_number": "317-859-7220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14300 E 138TH ST BLDG A",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460370087",
            "telephone_number": "317-813-1660",
            "fax_number": "317-813-1667"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11380 Illinois St",
            "address_purpose": "LOCATION",
            "city": "Carmel",
            "state": "IN",
            "postal_code": "460329840",
            "country_code": "US",
            "telephone_number": "317-890-2000",
            "fax_number": "317-859-7220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRATHER",
        "first_name": "MAHLON",
        "middle_name": "B",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-23",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10005455A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

Verify at the official NPI Registry.