Active NPI
Sheila Mothkur, M.D.
- Specialist
- Michigan City, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 01037546
- Practice address
- 1501 Wabash St Ste 101
Michigan City, IN 46360-4364 - Phone
- (219) 874-5333
- Fax
- (219) 874-0254
- NPI assigned
- Oct 12, 2006
- Last updated
- Dec 15, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 01037546 | IN | Primary |
Addresses
Primary practice location
1501 Wabash St Ste 101
Michigan City, IN 46360-4364
Mailing address
1501 Wabash St Ste 101
Michigan City, IN 46360-4364
Phone (219) 874-5333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200336540 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120810000709 | IN | Practitioner - Infectious Disease | 9830345578 | Practice locations: Michigan City, IN |
Care Compare profile
Medicare Care Compare- Specialty
- Infectious Disease
- Education
- Other, 1973
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
10176 W 400
Suite D
Michigan City, IN 46360-9009
Phone (219) 874-5333
10176 W 400 N D
Michigan City, IN 46360-9009
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01037546 | IN | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sheila Mothkur, M.D. | Past | Accepting new patients |
Interoperability endpoints
- smothkur83048@direct.franciscanalliance.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Infectious Disease Physician
- Michigan City, IN
- NPI 1598955957
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Franciscan Health Michigan City at La Porte
- General Acute Care Hospital
- La Porte, IN
- NPI 1679336747
-
- General Acute Care Hospital
- Michigan City, IN
- NPI 1710051941
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260835200000",
"number": "1235228818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 WABASH ST STE 101",
"city": "MICHIGAN CITY",
"state": "IN",
"postal_code": "463604364",
"telephone_number": "219-874-5333",
"fax_number": "219-874-0254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 WABASH ST STE 101",
"city": "MICHIGAN CITY",
"state": "IN",
"postal_code": "463604364",
"telephone_number": "219-874-5333",
"fax_number": "219-874-0254"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOTHKUR",
"first_name": "SHEILA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-12",
"last_updated": "2009-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "IN",
"license": "01037546",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200336540",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Michigan City, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.