Mutena B. Korman, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

01055605A Issued in IN

Practice address

6111 Harrison St Ste 380
Merrillville, IN 46410-2972

Phone

(219) 942-4222

Fax

(219) 942-4233

NPI assigned

Sep 20, 2006

Last updated

Mar 13, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Family Practice

Education

Other, 1969

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Elara Caring Home health agency, Valparaiso, IN, CCN 157095
• Methodist Hospitals Inc Hospital, Gary, IN, CCN 150002
• St Mary Medical Center Inc Hospital, Hobart, IN, CCN 150034
• Brickyard Healthcare - Portage Care Center Nursing home, Portage, IN, CCN 155187

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/13623/brand/1/csg/1/fhir/r4
• Direct secure messaging: mutena.korman@980541902159876.direct.elationemr.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Health Care Inc

  • General Practice Physician
  • Merrillville, IN
  • NPI 1710244686
  Medicare reassignment NPD Authorized official
• Henry K Pong, DDS, PSC

  • Dentist
  • Lake Station, IN
  • NPI 1174620769
  NPD (past)
• We Care Medical Center LLC

  • Family Health Clinical Nurse Specialist
  • Hammond, IN
  • NPI 1619113339
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• GLC Home Health Nin LLC

  dba Elara Caring

  • Home Health Agency
  • Valparaiso, IN
  • NPI 1013493493
  Care Compare affiliation
• Hendricks County Hospital

  dba Brickyard Healthcare - Portage Care Center

  • Skilled Nursing Facility
  • Portage, IN
  • NPI 1275703092

  Nursing home

  Care Compare affiliation
• St Mary Medical Center Inc

  • General Acute Care Hospital
  • Hobart, IN
  • NPI 1558463745
  Care Compare affiliation
• St Mary Medical Center Inc

  dba St Mary Wound Clinic

  • General Acute Care Hospital
  • Hobart, IN
  • NPI 1962504175
  Care Compare affiliation
• The Methodist Hospitals, Inc

  • General Acute Care Hospital
  • Gary, IN
  • NPI 1467504555
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1891893491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 N HARLEM AVE",
            "city": "ELMWOOD PARK",
            "state": "IL",
            "postal_code": "607073119",
            "telephone_number": "708-452-1111",
            "fax_number": "708-452-4593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6111 HARRISON ST STE 380",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464102972",
            "telephone_number": "219-942-4222",
            "fax_number": "219-942-4233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORMAN",
        "first_name": "MUTENA",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IN",
            "license": "01055605A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200402440",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittnee Konja
• Faith Konja, RBT
• Jessica H. Koo
• Sarah Kopf, RBT
• Elizabeth Kopil, BCBA
• Sarah Kosanke, BS
• Joseph B Koscielniak Jr., M.D.
• Albert Kosior
• John G. Kostides, DDS
• Alexander H Kouklakis, O.D.

• General Practice Physician in Merrillville, IN
• Providers in Merrillville, IN by specialty
• General Practice Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.