Mikhail M Galperin, M.D.
Individual provider Active NPI Anesthesiology Physician · Mishawaka, IN
NPI 1306136650 · NPPES record last updated Mar 12, 2025
Key facts
- NPI
- 1306136650
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 036169774 (IL)
- Practice address
- 5215 Holy Cross Pkwy
Mishawaka, IN 46545-1469 - Phone
- (574) 335-5000
- Fax
- (574) 233-3123
- NPI assigned
- Apr 7, 2011
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 11
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- Virginia Commonwealth University, School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Advance Pain and Anesthesia Consultants, PC
Northern Indiana Anesthesia Associates, LLC
Practice addresses (Care Compare)
425 Joliet St
Suite 400
Dyer, IN 46311-1768
Phone (219) 488-0165
53830 Generations Dr
South Bend, IN 46635-1557
Phone (574) 217-0174
Hospital & facility affiliations
- Memorial Hospital of South Bend
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IN, IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150603002546 | IN | Practitioner - Anesthesiology | 2961630892 | Reassigns benefits to 3 organizations |
| I20250319001370 | IL | Practitioner - Anesthesiology | 2961630892 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036169774 | IL | MD | Anesthesiology Physician |
| 01075196A | IN | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Dynamics LLC | Anesthesiology | Current |
Accepting new patients |
| Advance Pain & Anesthesia Consultants, PC | Current |
Accepting new patients | |
| Sahag LLC | Anesthesiology | Current |
Accepting new patients |
| Anesthesia Care Associates, LLC | Anesthesiology | Current |
Accepting new patients |
| Northern Indiana Anesthesia Associates, LLC | Anesthesiology | Current |
Accepting new patients |
| Advanced Pain & Anesthesia Consultants, PC | Pain Medicine | Current |
Accepting new patients |
| Digestive Care of Evansville PC | Past | Accepting new patients | |
| Digestive Care of Evansville, PC | Past | Accepting new patients | |
| Michiana Surgery Center, LLC | Past | Accepting new patients |
Locations
2875 W 19th St
Chicago, IL 60623
Phone (773) 484-4300
11460 Broadway
Crown Point, IN 46307
Phone (219) 488-0154
11456 Broadway
Crown Point, IN 46307
Phone (219) 488-0154
425 US Highway 30
Ste 400
Dyer, IN 46311
Phone (219) 488-0165
4411 Washington Ave
Ste 100
Evansville, IN 47714
Phone (313) 637-9861
801 Saint Marys Dr
Ste 205
Evansville, IN 47714
Phone (812) 477-6103
801 Saint Marys Dr
Ste 205W
Evansville, IN 47714
Phone (812) 477-6103
647 2nd St
Ste A
Jasper, IN 47546
Phone (812) 477-6103
500 Legacy Plz W
Laporte, IN 46350
Phone (219) 326-0943
3212 Hickory Rd
Ste A
Mishawaka, IN 46545
Phone (574) 251-0498
53830 Generations Dr
South Bend, IN 46635
Phone (574) 217-0174
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 01075196A | IN | |
| Anesthesiology Physician | 207L00000X | 036169774 | IL | Yes |
Addresses
Primary practice location
5215 Holy Cross Pkwy
Mishawaka, IN 46545-1469
Mailing address
121 S Saint Louis Blvd
South Bend, IN 46617-2924
Phone (240) 678-2336
Other practice location 1
1215 Lee St
Box 800710
Charlottesville, VA 22908-0816
Phone (434) 982-4307
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201284290 | Medicaid | IN |
Other providers in Mishawaka, IN
- Janet Ann Galanes
- Galen Inpatient Physicians PC
- Jaqueline Galicia
- Daniel Gallegos
- Courtney Claire Galloway
- Amanda Gamble
- Jocelyn Danielle Gaona
- Garbs Medical Supplies
- Abril Garcia
- Debra Jacobs Garcia
All providers in Mishawaka, IN · Anesthesiology Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 12, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.