Individual provider Active NPI

Martina F. Mutone, M.D.

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Fishers, IN
National Provider Identifier
1619981545
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X
License
01050199A Issued in IN
Practice address
14300 E 138TH Ste a
Fishers, IN 46037-0051
Phone
(317) 813-1660
Fax
(317) 813-1667
NPI assigned
Jul 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X 01050199A IN Primary
Obstetrics & Gynecology Physician 207V00000X 01050199A IN

Addresses

Primary practice location

14300 E 138TH Ste a
Fishers, IN 46037-0051

Mailing address

679 E County Line Rd
Greenwood, IN 46143-1049
Phone (317) 890-2000

Other practice location 1

11380 Illinois St
Carmel, IN 46032-9840
Phone (877) 362-2778

Other identifiers 3

IdentifierTypeStateIssuer
000000359695OtherINANTHEM
P00220118OtherINMEDICARE RAILROAD
200498030MedicaidIN

Other names 1

  • Nina Mutone Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address urologyin@directaddress.net

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
I20050427000791 IN Practitioner - Obstetrics/Gynecology 2264471465 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Washington School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urology of Indiana LLCGroup PAC ID 7517870009, 79 clinicians

Practice addresses (Care Compare)

12188 A N Meridian St
Suite 200
Carmel, IN 46032-4410
Phone (317) 564-5100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus38

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Urology of Indiana, L.L.C. CurrentSince Jun 15, 2005 Accepting new patients
Urology of Indiana L.L.C. Obstetrics & Gynecology CurrentSince Jun 15, 2005 Accepting new patients
Major Hospital Past Accepting new patients

Locations

120 Avon Market Pl
Avon, IN 46123
Phone (877) 362-2778

11380 Illinois St
Carmel, IN 46032
Phone (317) 807-1262

12188 N Meridian St
Ste 200
Carmel, IN 46032

12188A N Meridian St
Ste 200
Carmel, IN 46032
Phone (317) 564-5100

14300 E 138th
Ste A
Fishers, IN 46037
Phone (317) 813-1660

679 E County Line Rd
Greenwood, IN 46143
Phone (317) 807-1262

1270 N Post Rd
Ste A
Indianapolis, IN 46219
Phone (317) 895-6095

8902 N Meridian St
Ste 104
Indianapolis, IN 46260
Phone (317) 816-8960

8040 Clearvista Pkwy
Ste 370
Indianapolis, IN 46256
Phone (317) 813-1660

Interoperability endpoints

  • Direct secure messaging: urologyin@directaddress.net

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 and National Provider Directory roles.

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1619981545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "679 E COUNTY LINE RD",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461431049",
            "telephone_number": "317-890-2000",
            "fax_number": "317-859-4269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14300 E 138TH STE A",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460370051",
            "telephone_number": "317-813-1660",
            "fax_number": "317-813-1667"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11380 Illinois St",
            "address_purpose": "LOCATION",
            "city": "Carmel",
            "state": "IN",
            "postal_code": "460329840",
            "country_code": "US",
            "telephone_number": "877-362-2778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUTONE",
        "first_name": "MARTINA",
        "middle_name": "F.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "IN",
            "license": "01050199A",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "01050199A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000359695",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00220118",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200498030",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "urologyin@directaddress.net",
            "affiliation": "N",
            "address_1": "14300 E 138th Ste A",
            "city": "Fishers",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460370051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "NINA",
            "last_name": "MUTONE",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fishers, IN

Sources for this page

Verify at the official NPI Registry.