Individual provider Active NPI

Felicitas Z Gatchalian, MD

  • Internal Medicine Physician
  • Linton, IN
National Provider Identifier
1306897509
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01069188A Issued in IN
Practice address
1210 N 1000 W
Linton, IN 47441-5013
Phone
(812) 847-4481
Fax
(844) 658-7526
NPI assigned
May 12, 2006
Last updated
Nov 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 36374 MO
Internal Medicine Physician 207R00000X 01069188A IN Primary

Addresses

Primary practice location

1210 N 1000 W
Linton, IN 47441-5013

Mailing address

420 S 3Rd St Apt 1
Vincennes, IN 47591-1061
Phone (314) 974-0718

Other practice location 1

1185 N 1000 W
Linton, IN 47441-5282
Phone (812) 847-2281

Other identifiers 1

IdentifierTypeStateIssuer
201033050MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110426000158 IN Practitioner - Internal Medicine 5890724157 Reassigns benefits to 1 organization
I20180605001898 WI Practitioner - Internal Medicine 5890724157 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36374MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Apogee Medical Group Indiana PC Internal Medicine CurrentSince Aug 12, 2013 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Aug 27, 2018 Accepting new patients
Felicitas Z. Gatchalian MD, LLC Internal Medicine CurrentSince Dec 1, 2006 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Aug 27, 2018 Accepting new patients
Aspirus Stevens Point Hospital & Clinics, Inc. CurrentSince Jun 11, 2018 Accepting new patients
Aspirus Stevens Point Hospital & Clinics, Inc. CurrentSince Jun 11, 2018 Accepting new patients
Hospitalists of Wabash Valley, LLC Internal Medicine Past Accepting new patients
Nodaway Physician Services, LLC Past Accepting new patients
Farmington Physician Services LLC Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

520 S 7th St
Vincennes, IN 47591
Phone (812) 885-3280

1035 Bellevue Ave
Ste 211
Saint Louis, MO 63117
Phone (314) 644-0718

1035 Bellevue Ave
Ste 411
Saint Louis, MO 63117
Phone (314) 644-0718

1020 Kabel Ave
Rhinelander, WI 54501
Phone (715) 361-2805

2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-2074

900 Illinois Ave
Stevens Point, WI 54481
Phone (715) 342-7500

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1306897509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 S 3RD ST APT 1",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475911061",
            "telephone_number": "314-974-0718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 N 1000 W",
            "city": "LINTON",
            "state": "IN",
            "postal_code": "474415013",
            "telephone_number": "812-847-4481",
            "fax_number": "844-658-7526"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1185 N 1000 W",
            "address_purpose": "LOCATION",
            "city": "Linton",
            "state": "IN",
            "postal_code": "474415282",
            "country_code": "US",
            "telephone_number": "812-847-2281",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GATCHALIAN",
        "first_name": "FELICITAS",
        "middle_name": "Z",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "36374",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01069188A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201033050",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Linton, IN

Sources for this page

Verify at the official NPI Registry.