NPIMap

Individual provider Active NPI

Michael C Harper, MD

  • Internal Medicine Physician
  • Sellersburg, IN
National Provider Identifier
1487615415
Registry record updated Mar 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01049550A Issued in IN
Practice address
130 Hunter Station Way
Suite 202
Sellersburg, IN 47172-8930
Phone
(812) 248-0800
Fax
(812) 248-0805
NPI assigned
Mar 29, 2006
Last updated
Mar 30, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2015

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 32440 KY
Internal Medicine Physician 207R00000X 01049550A IN Primary
Pediatrics Physician 208000000X 32440 KY
Pediatrics Physician 208000000X 01049550A IN

Addresses

Primary practice location

130 Hunter Station Way
Suite 202
Sellersburg, IN 47172-8930

Mailing address

130 Hunter Station Way
Suite 202
Sellersburg, IN 47172-8930
Phone (812) 248-0800

Other identifiers 1

IdentifierTypeStateIssuer
200225560AMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060612000145 IN Practitioner - Internal Medicine 7113939133 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Louisville School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sellersburg Internal Medicine and PediatricsGroup PAC ID 1850467200, 6 clinicians

Practice addresses (Care Compare)

130 Hunter Station Way
Suite 202
Sellersburg, IN 47172-8932
Phone (812) 248-0800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32440KYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sellersburg Internal Medicine & Pediatrics Internal Medicine CurrentSince Sep 2, 2007 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Dec 23, 2021 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Dec 23, 2021 Accepting new patients

Locations

4152 W State Road 56
Hanover, IN 47243
Phone (812) 762-4510

130 Hunter Station Way
Ste 202
Sellersburg, IN 47172
Phone (812) 248-0800

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2852/brand/1/csg/1/fhir/r4
  • Direct secure messaging: michael.harper.1@2852.direct.athenahealth.com

Organizations & group practices 3

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 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427673600000",
    "number": "1487615415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 HUNTER STATION WAY",
            "address_2": "SUITE 202",
            "city": "SELLERSBURG",
            "state": "IN",
            "postal_code": "471728930",
            "telephone_number": "812-248-0800",
            "fax_number": "812-248-0805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 HUNTER STATION WAY",
            "address_2": "SUITE 202",
            "city": "SELLERSBURG",
            "state": "IN",
            "postal_code": "471728930",
            "telephone_number": "812-248-0800",
            "fax_number": "812-248-0805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARPER",
        "first_name": "MICHAEL",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2015-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "32440",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01049550A",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "32440",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01049550A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200225560A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sellersburg, IN

Sources for this page

Verify at the official NPI Registry.