My Mobile MD Illinois LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MY MOBILE MD ILLINOIS LLC

Practice address

429 E Vermont St Ste 110
Indianapolis, IN 46202-3685

Phone

(317) 559-0950

NPI assigned

Jul 21, 2025

Last updated

Jul 21, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Steve Martin

Title

Ceo

Phone

(317) 670-6635

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ryan Matthew Pickell, M.D.

  • Internal Medicine Physician
  • Indianapolis, IN
  • NPI 1578943460

  IL

  Medicare reassignment Care Compare group NPD
• Pamela S. Brodt, ACNP-BC

  • Acute Care Nurse Practitioner
  • Springfield, IL
  • NPI 1982737789
  Medicare reassignment Care Compare group NPD
• Shaun Patrick Cox

  • Adult Health Nurse Practitioner
  • Westville, IL
  • NPI 1487989513
  Medicare reassignment Care Compare group NPD
• Malissa Miller, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Columbia, IL
  • NPI 1285113217
  Medicare reassignment Care Compare group NPD
• Melissa K Odle, FNP

  • Nurse Practitioner
  • Sesser, IL
  • NPI 1225308406
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1753056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753056000000",
    "number": "1366324543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 586",
            "city": "GALLOWAY",
            "state": "OH",
            "postal_code": "431190586",
            "telephone_number": "765-969-7841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 E VERMONT ST STE 110",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462023685",
            "telephone_number": "317-559-0950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY MOBILE MD ILLINOIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-21",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "317-670-6635"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• My MD Housecalls, LLC
• My Mobile Diagnostics Idtf LLC
• My Mobile Diagnostics LLC
• My Mobile Lab LLC
• My Mobile MD Florida LLC
• My Mobile MD Indiana LLC
• My Mobile MD LLC
• My Mobile MD Michigan LLC
• My Mobile MD Northern Indiana
• My Mobile MD Psychiatric Services LLC

• Family Medicine Physician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.