Michael William Kane, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

01036858 Issued in IN

Practice address

1004 W 1St St
Bloomington, IN 47403-2208

Phone

(812) 393-5534

Fax

(888) 532-2935

NPI assigned

Jan 30, 2007

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

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.

• Indiana Community Health Medical Center, Inc.

  • Family Medicine Physician
  • Bedford, IN
  • NPI 1093392870
  Medicare reassignment NPD Authorized official
• Indiana Center for Recovery Outpatient Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Merrillville, IN
  • NPI 1093412793
  Medicare reassignment NPD
• Indiana Center for Recovery Outpatient Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Carmel, IN
  • NPI 1639869464
  NPD
• Indiana University Health Bloomington Inc

  • Psychiatry Physician
  • Bloomington, IN
  • NPI 1871519074
  NPD
• Indiana University Health Bloomington Inc

  dba IU Health Bloomington Retail Pharmacy

  • Community/Retail Pharmacy
  • Bloomington, IN
  • NPI 1922640077
  NPD
• Hoosier Wellness Operating Subsidiary, LLC

  • Multi-Specialty Clinic/Center
  • Bloomington, IN
  • NPI 1730753294
  NPD (past)
• Indiana Center for Recovery Outpatient Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Terre Haute, IN
  • NPI 1144929886
  NPD (past)
• Indiana Center for Recovery Outpatient Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lafayette, IN
  • NPI 1215636956
  NPD (past)
• Indiana Center for Recovery South Bend, LLC

  dba Hoosier Wellness Providers

  • Psychiatric Hospital
  • Mishawaka, IN
  • NPI 1326790262
  NPD (past)
• Indiana Center for Recovery, LLC

  • Psychiatric Residential Treatment Facility
  • Bloomington, IN
  • NPI 1295276160
  NPD (past)
• Indiana University Health Bedford, Inc

  • Clinical Pathology Physician
  • Bedford, IN
  • NPI 1871036962
  NPD (past)

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1497891840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 W 1ST ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474032208",
            "telephone_number": "812-393-5534",
            "fax_number": "888-532-2935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 W 1ST ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474032208",
            "telephone_number": "812-393-5534",
            "fax_number": "888-532-2935"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "421 W 1st St",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IN",
            "postal_code": "474032403",
            "country_code": "US",
            "telephone_number": "812-393-5344",
            "fax_number": "888-532-2935",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "215 W 4th St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Mishawaka",
            "state": "IN",
            "postal_code": "465441917",
            "country_code": "US",
            "telephone_number": "574-347-5753",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14555 Hazel Dell Pkwy Ste 140",
            "address_purpose": "LOCATION",
            "city": "Carmel",
            "state": "IN",
            "postal_code": "460337234",
            "country_code": "US",
            "telephone_number": "844-650-0064",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5510 S Emerson Ave",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462372517",
            "country_code": "US",
            "telephone_number": "844-650-0064",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "215 W 4th St",
            "address_purpose": "LOCATION",
            "city": "Mishawaka",
            "state": "IN",
            "postal_code": "465441917",
            "country_code": "US",
            "telephone_number": "574-703-4706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANE",
        "first_name": "MICHAEL",
        "middle_name": "WILLIAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01036858",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "01036858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100185140",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaleidoscope Pediatric Speech Therapy Specialists, LLC
• Robert Kalmes, MBA, ATC, CES
• Kathy Kalotta, NP-C
• CHI-Wei Kan, LMHC
• Emad Kandah, MD
• Karthik Kannegolla, MD
• Thomas Henry Kapczynski, D.D.S.
• Shelby Kapellusch, RBT
• Kara Baertsch Counseling, LLC
• Laura A. Karcher, M.A., CCC-SLP

• Psychiatry Physician in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Psychiatry Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; 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.