Active NPI
Ronald Maus, MD
- Family Medicine Physician
- Kokomo, IN
National Provider Identifier
1598849283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01024891
- Practice address
- 2330 S Dixon Rd
Kokomo, IN 46902-6400 - Phone
- (765) 455-5400
- Fax
- (765) 865-3912
- NPI assigned
- Oct 25, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01024891 | IN | Primary |
Addresses
Primary practice location
2330 S Dixon Rd
Kokomo, IN 46902-6400
Mailing address
2330 S Dixon Rd
Kokomo, IN 46902-6400
Phone (765) 455-5400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100136340 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01024891 | IN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Health Network of Indiana, LLC | Family Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Mulberry, IN
- NPI 1033220017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413763200000",
"number": "1598849283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2330 S DIXON RD",
"city": "KOKOMO",
"state": "IN",
"postal_code": "469026400",
"telephone_number": "765-455-5400",
"fax_number": "765-865-3912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2330 S DIXON RD",
"city": "KOKOMO",
"state": "IN",
"postal_code": "469026400",
"telephone_number": "765-455-5400",
"fax_number": "765-865-3912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAUS",
"first_name": "RONALD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-25",
"last_updated": "2014-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01024891",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100136340",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kokomo, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.