Active NPI
Michael C. Knox, MD
- Pain Medicine (Anesthesiology) Physician
- Lebanon, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 01065958A
- Practice address
- 2705 N Lebanon St Ste 155
Lebanon, IN 46052-8628 - Phone
- (765) 485-8750
- Fax
- (765) 485-8758
- NPI assigned
- May 17, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Psychiatry & Neurology) Physician | 2084P2900X | 01065958A | IN | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 01065958A | IN | Primary |
| Neurology Physician | 2084N0400X | 01065958A | IN |
Addresses
Primary practice location
2705 N Lebanon St Ste 155
Lebanon, IN 46052-8628
Mailing address
2605 N Lebanon St
Lebanon, IN 46052-1476
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200944750 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mknox@withamdirect.org | Health Information Exchange (HIE) | Witham Memorial Hospital |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090711000026 | IN | Practitioner - Neurology | 4880746452 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01065958A | IN | MD | Pain Medicine (Psychiatry & Neurology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Major Hospital | Past | Accepting new patients |
Interoperability endpoints
- mknox@withamdirect.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Medical College of Ohio, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Witham Memorial Hospital
Practice addresses (Care Compare)
1650 W Oak St
Zionsville, IN 46077-3835
2505 N Lebanon St
Lebanon, IN 46052-8613
Phone (765) 485-8830
2605 N Lebanon St
Lebanon, IN 46052-1476
2705 N Lebanon St
Lebanon, IN 46052-8621
6085 Heartland Dr
Zionsville, IN 46077-4433
Hospital & facility affiliations
- Witham Health Services
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696982400000",
"number": "1407063449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2605 N LEBANON ST",
"city": "LEBANON",
"state": "IN",
"postal_code": "460521476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2705 N LEBANON ST STE 155",
"city": "LEBANON",
"state": "IN",
"postal_code": "460528628",
"telephone_number": "765-485-8750",
"fax_number": "765-485-8758"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNOX",
"first_name": "MICHAEL",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-17",
"last_updated": "2023-10-11",
"certification_date": "2023-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "2084P2900X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Pain Medicine",
"state": "IN",
"license": "01065958A",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "IN",
"license": "01065958A",
"primary": true
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "IN",
"license": "01065958A",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200944750",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mknox@withamdirect.org",
"affiliation": "Y",
"affiliationName": "Witham Memorial Hospital",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "2705 N Lebanon St Ste 155",
"city": "Lebanon",
"state": "IN",
"country_code": "US",
"postal_code": "460528628",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lebanon, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.