Individual provider Active NPI

Sheila Mothkur, M.D.

  • Specialist
  • Michigan City, IN
National Provider Identifier
1235228818
Registry record updated Dec 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
01037546 Issued in IN
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, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
200336540MedicaidIN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120810000709 IN Practitioner - Infectious DiseasePractitioner - Internal Medicine 9830345578 Practice locations: Michigan City, IN

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
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

LicenseStateTypeSpecialty
01037546INMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Sheila Mothkur, M.D. PastSince Aug 1, 2001 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.