Individual provider Active NPI

Mitchell D Krathwohl, MD

  • Infectious Disease Physician
  • Indianapolis, IN
National Provider Identifier
1447225818
Registry record updated Dec 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
01046293A Issued in IN
Practice address
550 University Blvd # Uh3005
Indianapolis, IN 46202-5149
Phone
(317) 962-8851
Fax
(317) 962-5957
NPI assigned
Feb 21, 2006
Last updated
Dec 7, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2022

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 01046293A IN
Infectious Disease Physician 207RI0200X 01046293A IN Primary

Addresses

Primary practice location

550 University Blvd # Uh3005
Indianapolis, IN 46202-5149

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other practice location 1

5550 S East St Ste C
Indianapolis, IN 46227-1991
Phone (317) 534-4660

Other practice location 2

2600 Greenbush St
Lafayette, IN 47904-2477
Phone (765) 448-8000

Other practice location 3

9650 E Washington St Ste 100
Indianapolis, IN 46229-3032
Phone (317) 890-5500

Other identifiers 3

IdentifierTypeStateIssuer
000000720384OtherINANTHEM PROVIDER NUMBER FOR TIN 35-2030653
000000377245OtherINANTHEM ID NUMBER
200206000MedicaidIN

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mkrathwohl@direct.iuhealth.org Direct
Direct Messaging Address mkrathwohl@direct.iuhealth.org Direct

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051110000131 IN Practitioner - Infectious DiseasePractitioner - Internal Medicine 0749208643 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Indiana University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Iu Health Medical Group LLCGroup PAC ID 9638617913, 4,382 clinicians

Practice addresses (Care Compare)

1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Family Physicians, Inc. Internal Medicine CurrentSince Feb 1, 2023 Accepting new patients
Raphael Health Center, Inc CurrentSince Oct 2, 2017 Accepting new patients
Iu Health Medical Group, LLC CurrentSince Jul 1, 2025 Accepting new patients
Raphael Health Center, Inc CurrentSince Oct 2, 2017 Accepting new patients
University Family Physicians, Inc. CurrentSince Feb 1, 2023 Accepting new patients
Indiana University Health Care Associates, Inc CurrentSince Feb 1, 2023 Accepting new patients
Major Hospital Past Accepting new patients
Indiana University Health Care Associates, Inc. Past Accepting new patients
University Medical Diagnostic Associates, Inc. Internal Medicine Past Accepting new patients

Locations

5208 Reliable Pkwy
Chicago, IL 60686

7216 Solutions Ctr
Chicago, IL 60677

1520 N Senate Ave
Indianapolis, IN 46202
Phone (317) 962-0857

1701 N Senate Blvd
Bldg C6
Indianapolis, IN 46202
Phone (913) 962-2000

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

401 E 34th St
Indianapolis, IN 46205
Phone (317) 926-1507

550 University Blvd
Indianapolis, IN 46202
Phone (217) 274-5000

550 University Blvd
#3005
Indianapolis, IN 46202
Phone (317) 944-2167

5550 S East St
Ste C
Indianapolis, IN 46227
Phone (317) 534-4660

9650 E Washington St
Ste 100
Indianapolis, IN 46229
Phone (317) 890-5500

2600 Greenbush St
Lafayette, IN 47904

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FDCGDD
  • Direct secure messaging: mkrathwo@direct.iuhealth.org
  • Direct secure messaging: mkrathwohl@direct.iuhealth.org

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670371200000",
    "number": "1447225818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 UNIVERSITY BLVD # UH3005",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462025149",
            "telephone_number": "317-962-8851",
            "fax_number": "317-962-5957"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5550 S East St Ste C",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462271991",
            "country_code": "US",
            "telephone_number": "317-534-4660",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2600 Greenbush St",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "IN",
            "postal_code": "479042477",
            "country_code": "US",
            "telephone_number": "765-448-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9650 E Washington St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462293032",
            "country_code": "US",
            "telephone_number": "317-890-5500",
            "fax_number": "317-890-5566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRATHWOHL",
        "first_name": "MITCHELL",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01046293A",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "IN",
            "license": "01046293A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NUMBER FOR TIN 35-2030653",
            "identifier": "000000720384",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM ID NUMBER",
            "identifier": "000000377245",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200206000",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mkrathwohl@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "550 University Blvd # Uh3005",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462025149",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mkrathwohl@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "9650 E Washington St Ste 100",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462293032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.