Robert Mara, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

01045168 Issued in IN

Practice address

1600 Albany St
Beech Grove, IN 46107-1541

Phone

(317) 783-8148

NPI assigned

Aug 12, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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 FL

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

Emergency Medicine

Education

Indiana University School of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lavender Health Care of Florida, LLLPGroup PAC ID 9234315631, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Lavender Health Care of Florida, LLLP

  dba AFC Urgent care

  • Urgent Care Clinic/Center
  • Sarasota, FL
  • NPI 1811210735
  Medicare reassignment Care Compare group NPD
• Dante Family Medicine LLC

  • Urgent Care Clinic/Center
  • Sarasota, FL
  • NPI 1215885561
  NPD
• Emergency Physicians of Indianapolis, PC

  • Emergency Medicine Physician
  • Indianapolis, IN
  • NPI 1770538340
  NPD (past)

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1962414508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7112",
            "address_2": "DEPT. #31",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462077112",
            "telephone_number": "317-802-3151",
            "fax_number": "317-870-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 ALBANY ST",
            "city": "BEECH GROVE",
            "state": "IN",
            "postal_code": "461071541",
            "telephone_number": "317-783-8148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARA",
        "first_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01045168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200101290",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gennelle Katherine Lucid, FNP-BC
• Lumivex Medical Billing LLC
• Kristen Lundy, OTR
• Lisa Katherine Mabie, RPH
• Daniel Raymond Maddigan, DDS
• Leann R Matlik, R.D.
• Katherine Grace McMinn
• Medivion Billing Services LLC
• Medixora Diagnostic Lab LLC
• Grace Messersmith

• Emergency Medicine Physician in Beech Grove, IN
• Providers in Beech Grove, IN by specialty
• Emergency Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.