Individual provider Active NPI

Rudo Mashindi, M.D.

  • Family Medicine Physician
  • Greenfield, IN
National Provider Identifier
1447694468
Registry record updated Aug 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01079770A Issued in IN
Practice address
300 E Boyd Ave Ste 120
Greenfield, IN 46140-2832
Phone
(317) 462-3441
Fax
(317) 477-6316
NPI assigned
Apr 21, 2013
Last updated
Aug 19, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036141131 IL
Family Medicine Physician 207Q00000X R3267 KY
Hospitalist Physician 208M00000X 036141131 IL
Family Medicine Physician 207Q00000X 01079770A IN Primary

Addresses

Primary practice location

300 E Boyd Ave Ste 120
Greenfield, IN 46140-2832

Mailing address

One Memorial Square
Suite 50
Greenfield, IN 46140-1270
Phone (317) 468-6270

Other identifiers 1

IdentifierTypeStateIssuer
7100385530MedicaidKY

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
I20180517002062 IN Practitioner - Family Practice 6002123312 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hancock Physician Network LLCGroup PAC ID 8325952633, 139 clinicians

Practice addresses (Care Compare)

300 E Boyd Ave
Suite 120
Greenfield, IN 46140-2832
Phone (317) 462-3441

6189 W John L Modglin Dr
Suite 101
Greenfield, IN 46140-9364
Phone (317) 866-7300

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01079770AINMDFamily Medicine Physician
036141131ILMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hancock Health Gateway Services Inc CurrentSince Sep 16, 2024 Accepting new patients
Hancock Physician Network, LLC Family Medicine CurrentSince Jun 1, 2018 Accepting new patients
Hancock Health Gateway Services, Inc. Family Medicine CurrentSince Sep 16, 2024 Accepting new patients
Arise Substance Abuse Care Services Current Accepting new patients
Major Hospital Past Accepting new patients

Locations

1 Memorial Sq
Ste 50
Greenfield, IN 46140
Phone (317) 468-6257

300 E Boyd Ave
Ste 120
Greenfield, IN 46140
Phone (317) 462-3441

6189 W John L Modglin Dr
Ste 101
Greenfield, IN 46140
Phone (317) 866-7300

801 N State St
Ste 2000
Greenfield, IN 46140
Phone (317) 325-2727

Organizations & group practices 5

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": "1366502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566172800000",
    "number": "1447694468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE MEMORIAL SQUARE",
            "address_2": "SUITE 50",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461401270",
            "telephone_number": "317-468-6270",
            "fax_number": "317-468-6268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E BOYD AVE STE 120",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461402832",
            "telephone_number": "317-462-3441",
            "fax_number": "317-477-6316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASHINDI",
        "first_name": "RUDO",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-21",
        "last_updated": "2019-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036141131",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "R3267",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036141131",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01079770A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100385530",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, IN

Sources for this page

Verify at the official NPI Registry.