Individual provider Active NPI

Michael Anthony Mitcheff, DO

  • Addiction Medicine (Family Medicine) Physician
  • Indianapolis, IN
National Provider Identifier
1962684811
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
02001040A Issued in IN
Practice address
3737 N Meridian St
Indianapolis, IN 46208-4348
Phone
(317) 294-4043
NPI assigned
Dec 3, 2007
Last updated
Aug 17, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) Physician 207QA0401X 02001040A IN Primary

Addresses

Primary practice location

3737 N Meridian St
Indianapolis, IN 46208-4348

Mailing address

6330 Harbor Dr
Hudson, FL 34667-1353
Phone (727) 514-7333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, MI, OK3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20220322000618 IN Practitioner - Emergency Medicine 4183019557 Reassigns benefits to 1 organization
I20220815003189 MI Practitioner - Family Practice 4183019557 Reassigns benefits to 1 organization
I20260616004036 OK Practitioner - Addiction Medicine 4183019557 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Addiction Medicine
Education
Other, 1987
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Phoenix, AZ 85072

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
02001040AINMDAddiction Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Workit Health Mi PLLC CurrentSince Mar 1, 2022 Accepting new patients
Workit Health Mi PLLC CurrentSince Mar 1, 2022 Accepting new patients
Workit Health Mi PLLC CurrentSince May 1, 2022 Accepting new patients
Major Hospital Past Accepting new patients

Locations

2160 W 86th St
Ste 200
Indianapolis, IN 46260
Phone (941) 539-9889

3300 Washtenaw Ave
Ste 280
Ann Arbor, MI 48104
Phone (734) 329-5419

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1962684811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6330 HARBOR DR",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346671353",
            "telephone_number": "727-514-7333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 N MERIDIAN ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462084348",
            "telephone_number": "317-294-4043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHEFF",
        "first_name": "MICHAEL",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-03",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "IN",
            "license": "02001040A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.