Individual provider Active NPI

Michelle Rebecca Kitsis, MD

  • Surgery Physician
  • Greenfield, IN
National Provider Identifier
1871055202
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
01093074A Issued in IN
Practice address
1 Memorial SQ Ste 100
Greenfield, IN 46140-2819
Phone
(317) 462-3255
NPI assigned
Apr 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 01093074A IN Primary

Addresses

Primary practice location

1 Memorial SQ Ste 100
Greenfield, IN 46140-2819

Mailing address

11893 Stoney Bay Cir
Carmel, IN 46033-9501
Phone (317) 383-6284

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
I20240822000445 IN Practitioner - General Surgery 9739628751 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Indiana University School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hancock Physician Network LLCGroup PAC ID 8325952633, 139 clinicians

Practice addresses (Care Compare)

801 N State
Greenfield, IN 46140-1270

801 N State St
Greenfield, IN 46140-1270

801 N State St 3
Central Indiana Amg Specialty Hospital
Greenfield, IN 46140-1270
Phone (317) 477-6789

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy13
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux12
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01093074AINMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hancock Physician Network, LLC Surgery CurrentSince Aug 1, 2024 Accepting new patients
Major Hospital Past Accepting new patients

Locations

1 Memorial Sq
Ste 100
Greenfield, IN 46140
Phone (317) 462-3255

801 N State St
Ste 2000
Greenfield, IN 46140
Phone (317) 325-2727

801 N State St
Ste 100
Greenfield, IN 46140
Phone (317) 462-3255

Interoperability endpoints

  • Direct secure messaging: mkitsis116488@uihealth.direct-ci.com

Organizations & group practices 2

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": "1554336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1871055202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11893 STONEY BAY CIR",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460339501",
            "telephone_number": "317-383-6284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEMORIAL SQ STE 100",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461402819",
            "telephone_number": "317-462-3255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITSIS",
        "first_name": "MICHELLE",
        "middle_name": "REBECCA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-04",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IN",
            "license": "01093074A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, IN

Sources for this page

Verify at the official NPI Registry.