Individual provider Active NPI

Muhammad S. Arain, MD

  • Family Medicine Physician
  • Mishawaka, IN
National Provider Identifier
1275755100
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01065247A Issued in IN
Practice address
St.Joseph VA Clinic
1540 Trinity Place
Mishawaka, IN 46545
Phone
(574) 272-9000
Fax
(574) 272-9295
NPI assigned
May 2, 2007
Last updated
Jun 28, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01065247A IN Primary

Addresses

Primary practice location

St.Joseph VA Clinic
1540 Trinity Place
Mishawaka, IN 46545

Mailing address

St .Joseph VA Clinic
1540 Trinity Place
Mishawaka, IN 46545
Phone (574) 272-9000

Other identifiers 3

IdentifierTypeStateIssuer
000000581186OtherINANTHEM - INDIANA
200920090MedicaidIN
000000581186OtherINBCBS OF 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170814001897 IN Order and Referring Only - Family PracticePractitioner - Family Practice 5698849321

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01065247AINMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1275755100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ST .JOSEPH VA CLINIC",
            "address_2": "1540 TRINITY PLACE",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "46545",
            "telephone_number": "574-272-9000",
            "fax_number": "574-272-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ST.JOSEPH VA CLINIC",
            "address_2": "1540 TRINITY PLACE",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "46545",
            "telephone_number": "574-272-9000",
            "fax_number": "574-272-9295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARAIN",
        "first_name": "MUHAMMAD",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01065247A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM - INDIANA",
            "identifier": "000000581186",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200920090",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IN",
            "identifier": "000000581186",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mishawaka, IN

Sources for this page

Verify at the official NPI Registry.