Michael Norton Becker, MD
Individual provider Active NPI Obstetrics & Gynecology Physician · Paoli, IN
NPI 1952364580 · NPPES record last updated Apr 5, 2024
Key facts
- NPI
- 1952364580
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 01076449A (IN)
- Practice address
- 642 W Hospital Rd
Paoli, IN 47454-9672 - Phone
- (812) 723-7450
- Fax
- (812) 723-7508
- NPI assigned
- Apr 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
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 |
|---|---|---|---|---|
| I20160301000296 | IN | Practitioner - Obstetrics/Gynecology | 5597763334 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3853 | SD | MD | Specialist |
| 01076449A | IN | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indiana University Health Paoli Inc | Current |
Accepting new patients | |
| Indiana University Health Paoli Inc | Current |
Accepting new patients | |
| Iu Health Medical Group, LLC | Current |
Accepting new patients | |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients |
Locations
7992 Solution Ctr
Chicago, IL 60677
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
642 W Hospital Rd
Paoli, IN 47454
Phone (812) 723-2811
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 01076449A | IN | Yes |
| Specialist | 174400000X | 3853 | SD |
Addresses
Primary practice location
642 W Hospital Rd
Paoli, IN 47454-9672
Mailing address
642 W Hospital Rd
Paoli, IN 47454-9672
Phone (812) 723-7450
Other practice location 1
142 3rd St SE
Huron, SD 57350
Phone (605) 352-2229
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201348820 | Medicaid | IN |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mbecker@direct.iuhealth.org | Direct |
Other providers in Paoli, IN
- Sherrie Lynn Anderson
- Carla Ann Atherton
- Sara Rebecca Beach
- David L Beachy
- Andrew Stephen Becht
- George R Bell
- Leah Birk
- Bryce Bledsoe
- Katherine E Bowles
- Lawrence M Chapman
All providers in Paoli, IN · Obstetrics & Gynecology 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 Apr 5, 2024. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.