Michael D Foster, M.D.
Individual provider Active NPI Psychiatry Physician · Madison, IN
NPI 1699765198 · NPPES record last updated Jan 22, 2008
Key facts
- NPI
- 1699765198
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 01044445 (IN)
- Practice address
- 711 Green Rd
Madison, IN 47250-2143 - Phone
- (812) 265-2611
- NPI assigned
- Oct 26, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 28
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- Indiana University School of Medicine, 1994
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Northshore Health Centers Inc
Healthnet Inc
Practice addresses (Care Compare)
1828 165TH St
Suite a
Hammond, IN 46320-2823
Phone (219) 763-8112
2490 Central Ave
Lake Station, IN 46405-2122
Phone (219) 763-8112
2855 N Keystone Ave
Suite 120
Indianapolis, IN 46218-2790
6050 Sterling Creek Rd
Portage, IN 46368-7752
Phone 21976381123233
6091 Broadway
Merrillville, IN 46410-2619
Phone (219) 763-8112
801 Broadway
Chesterton, IN 46304-2230
Phone (219) 763-8112
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040913001375 | IN | Practitioner - Psychiatry | 3971570540 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01044445 | IN | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Indiana, Auditor of State | Current |
Accepting new patients | |
| Northshore Health Centers, Inc. | Psychiatry | Current |
Accepting new patients |
| Northshore Health Centers, Inc. | Current |
Accepting new patients | |
| State of Indiana, Auditor of State | Current |
Accepting new patients | |
| State of Indiana, Auditor of State | Current | Accepting new patients | |
| Healthnet, Inc. | Current |
Accepting new patients | |
| Northshore Health Centers Inc | Current | Accepting new patients | |
| Indiana University Psychiatric Associates, Inc. | Psychiatry | Past | Accepting new patients |
Locations
2855 N Keystone Ave
Ste 130
Indianapolis, IN 46218
3401 E Raymond St
#0
Indianapolis, IN 46203
901 Shelby St
Indianapolis, IN 46203
Phone (317) 488-2040
2855 N Keystone Ave
Ste 100
Indianapolis, IN 46218
Phone (317) 920-5760
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
1522 W Morris St
Indianapolis, IN 46221
Phone (317) 957-2500
3908 Meadows Dr
Indianapolis, IN 46205
Phone (317) 579-2275
711 Green Rd
Madison, IN 47250
Phone (812) 265-2611
6050 Sterling Creek Rd
Portage, IN 46368
Phone (219) 212-0188
Interoperability endpoints
- michael.foster@hn.eclinicaldirectplus.com
- michael.foster.p1@direct.northshorehealth.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 01044445 | IN | Yes |
Addresses
Primary practice location
711 Green Rd
Madison, IN 47250-2143
Mailing address
711 Green Rd
Madison, IN 47250-2143
Phone (812) 265-2611
Other providers in Madison, IN
- First Stop Urgent Care Madison PSC
- Kerri Lynn Fisher
- Lauren Fisher
- Alice Fitzgerald
- Sharon V Foley
- William Allan Francis
- Earl James Frey
- Karen Friedersdorf
- Friends of Canaan Incorporated
- Lilibeth C Gaminde
All providers in Madison, IN · Psychiatry Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 22, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.