Individual provider Active NPI

Lisa Annette Mims, MD

  • Obstetrics & Gynecology Physician
  • Indianapolis, IN
National Provider Identifier
1629197041
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
01058650A Issued in IN
Practice address
550 N. University Blvd,
Uh2440
Indianapolis, IN 46202-5274
Phone
(317) 217-2400
Fax
(317) 278-9918
NPI assigned
Mar 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 01058650A IN Primary
Obstetrics & Gynecology Physician 207V00000X 036096055 IL
Obstetrics & Gynecology Physician 207V00000X 036.096055 IL

Addresses

Primary practice location

550 N. University Blvd,
Uh2440
Indianapolis, IN 46202-5274

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other practice location 1

2700 Dr Martin Luther King Jr St
Indianapolis, IN 46208-5019
Phone (317) 931-4300

Other practice location 2

1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258

Other identifiers 1

IdentifierTypeStateIssuer
200924630MedicaidIN

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address lmims@direct.iuhealth.org
Direct Messaging Address lmims14730@direct.eskenazihealth.edu
Direct Messaging Address lmims@direct.iuhealth.org Direct

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
I20090731000262 IN Practitioner - Obstetrics/Gynecology 0941353460 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iu Health Medical Group LLCGroup PAC ID 9638617913, 4,382 clinicians

Practice addresses (Care Compare)

1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258

Hospital & facility affiliations

  • Eskenazi Health Hospital, Indianapolis, IN, CCN 150024

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.096055ILMDObstetrics & Gynecology Physician
036096055ILMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Obstetricians-Gynecologists,Inc Obstetrics & Gynecology CurrentSince Jun 14, 2009 Accepting new patients
The Health and Hospital Corporation of Marion County Current Accepting new patients
Eskenazi Medical Group Inc CurrentSince Mar 27, 2013 Accepting new patients
Iu Health Medical Group, LLC CurrentSince Apr 1, 2025 Accepting new patients
The Health and Hospital Corporation of Marion County CurrentSince Jan 25, 2014 Accepting new patients

Locations

7845 Solution Ctr
Chicago, IL 60677

2732 W Michigan St
Indianapolis, IN 46222
Phone (317) 554-4600

550 University Blvd
#2440
Indianapolis, IN 46202
Phone (317) 274-1661

720 Eskenazi Ave
Fl 2
Indianapolis, IN 46202
Phone (317) 278-5316

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

720 Eskenazi Ave
Indianapolis, IN 46202
Phone (317) 880-0000

2700 Martin Luther King Jr St
Indianapolis, IN 46208
Phone (317) 931-4300

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

720 Eskenazi Ave
Fl 5
Indianapolis, IN 46202
Phone (317) 880-6000

Interoperability endpoints

  • Direct secure messaging: lmims@direct.iuhealth.org

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1629197041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 N. UNIVERSITY BLVD,",
            "address_2": "UH2440",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462025274",
            "telephone_number": "317-217-2400",
            "fax_number": "317-278-9918"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2700 Dr Martin Luther King Jr St",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462085019",
            "country_code": "US",
            "telephone_number": "317-931-4300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1701 N Senate Blvd",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462021239",
            "country_code": "US",
            "telephone_number": "888-484-3258",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIMS",
        "first_name": "LISA",
        "middle_name": "ANNETTE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "01058650A",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036096055",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036.096055",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200924630",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lmims@direct.iuhealth.org",
            "affiliation": "N",
            "address_1": "550 N. University Blvd,",
            "address_2": "UH2440",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462025274",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lmims14730@direct.eskenazihealth.edu",
            "affiliation": "N",
            "address_1": "2700 Dr Martin Luther King Jr St",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462085019",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lmims@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1701 N Senate Blvd",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462021239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.