Individual provider Active NPI

Michael V Painter, D.O.

  • Emergency Medicine Physician
  • Monticello, IN
National Provider Identifier
1922025543
Registry record updated Feb 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
02001440A Issued in IN
Practice address
1101 Oconnor Blvd
Monticello, IN 47960-1666
Phone
(219) 326-1234
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 36086545 IL
Emergency Medicine Physician 207P00000X 02001440A IN Primary

Addresses

Primary practice location

1101 Oconnor Blvd
Monticello, IN 47960-1666

Mailing address

75 Remit Dr
Lockbox 1979
Chicago, IL 60675-1979
Phone (866) 916-5259

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
I20100322000650 IN Practitioner - Emergency Medicine 7416082029 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Midwestern University, Chicago College of Osteopathic Med, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clarksville Emergency Group PCGroup PAC ID 6507277423, 149 clinicians

Practice addresses (Care Compare)

1104 E Grace St
Franciscan Health Rensselaer
Rensselaer, IN 47978-3211
Phone (219) 866-5141

Hospital & facility affiliations

  • Franciscan Health Rensselaer, Inc Hospital, Rensselaer, IN, CCN 151324

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36086545ILMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clarksville Emergency Group, PC Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients
Takoma Regional Hospital Inc Current Accepting new patients
Parkview Wabash Hospital, Inc. Current Accepting new patients
Northern Indiana Emergency Physicians, LLP Emergency Medicine Past Accepting new patients
Northern Indiana Emergency Physicians, LLP Emergency Medicine Past Accepting new patients
St. Anthony Home Medical Equipment Past Accepting new patients
Indiana Emergency Physicians L L P Emergency Medicine Past Accepting new patients
Maple City Emergency Physicians, LLP Emergency Medicine Past Accepting new patients

Locations

1141 Hospital Dr NW
Corydon, IN 47112
Phone (812) 738-7830

1701 S Creasy Ln
Lafayette, IN 47905
Phone (765) 502-4400

1104 E Grace St
Rensselaer, IN 47978
Phone (219) 866-2026

710 N East St
Wabash, IN 46992
Phone (219) 563-3131

438 E Vann Rd
Ste 100
Greeneville, TN 37743
Phone (423) 278-1700

Organizations & group practices 8

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203465600000",
    "number": "1922025543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 REMIT DR",
            "address_2": "LOCKBOX 1979",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606751979",
            "telephone_number": "866-916-5259",
            "fax_number": "231-922-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 OCONNOR BLVD",
            "city": "MONTICELLO",
            "state": "IN",
            "postal_code": "479601666",
            "telephone_number": "219-326-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAINTER",
        "first_name": "MICHAEL",
        "middle_name": "V",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2008-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "36086545",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "02001440A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monticello, IN

Sources for this page

Verify at the official NPI Registry.