Michael H Phelps, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

01047317A Issued in IN

Practice address

5300 State Road 64
Suite 101
Georgetown, IN 47122-9178

Phone

(812) 923-4200

Fax

(812) 949-5966

NPI assigned

Apr 19, 2006

Last updated

Jun 4, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mphelps171916@direct.nortonhealthcare.org

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.

• Community Medical Associates, Inc.

  • Internal Medicine Physician
  • Louisville, KY
  • NPI 1588614994

  IN

  Medicare reassignment NPD
• Community Medical Associates, Inc.

  dba Norton Community Medical Associates

  • Internal Medicine Physician
  • Louisville, KY
  • NPI 1881192409
  NPD
• Community Medical Associates, Inc.

  dba Norton Health and Weight Management

  • Surgery Physician
  • Louisville, KY
  • NPI 1669970661
  NPD (past)
• Community Medical Associates, Inc.

  dba Norton Healthcare Express Services

  • Internal Medicine Physician
  • Louisville, KY
  • NPI 1699380436
  NPD (past)

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212537600000",
    "number": "1366407769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3844 RELIABLE PKWY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606860001",
            "telephone_number": "812-949-5482",
            "fax_number": "812-949-5966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 STATE ROAD 64",
            "address_2": "SUITE 101",
            "city": "GEORGETOWN",
            "state": "IN",
            "postal_code": "471229178",
            "telephone_number": "812-923-4200",
            "fax_number": "812-949-5966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHELPS",
        "first_name": "MICHAEL",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2008-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01047317A",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "31429",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200139960",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Rae Mumaw, PT, DPT
• Tammy L. Murphy, C.S.T., C.F.A.
• Alice Niehoff, DT
• Katlyn Elizabeth O'Neill, DPT
• Peace for Life Counseling, LLC
• Professional Surgical Assistants, Inc.
• Providence House (Guerin Woods)
• Providence Self Sufficiency Ministries
• Providence Self Sufficiency Ministries, Inc. (Guerin Woods Home Health)
• Edward Riggle Jr., RPH

• Internal Medicine Physician in Georgetown, IN
• Providers in Georgetown, IN by specialty
• Internal Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.