Individual provider Active NPI

Rathipriya Mahendran, MD

  • Medical Oncology Physician
  • Marion, IN
National Provider Identifier
1982685533
Registry record updated Oct 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
01054397A Issued in IN
Practice address
831 Theatre Drive
Marion, IN 46952-4470
Phone
(765) 660-7800
Fax
(765) 662-4470
NPI assigned
Nov 10, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X 01054397A IN Primary

Addresses

Primary practice location

831 Theatre Drive
Marion, IN 46952-4470

Mailing address

330 North Wabash Ave
Suite G20
Marion, IN 46952-2600
Phone (765) 660-7600

Other identifiers 2

IdentifierTypeStateIssuer
000000214428OtherINANTHEM BCBS
200371420MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rathipriya.mahendran@mgh.eclinicaldirectplus.com

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
I20100618000302 IN Practitioner - Hematology/Oncology 5092755801 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marion General HospitalGroup PAC ID 9133023625, 115 clinicians

Practice addresses (Care Compare)

831 N Theatre Dr
Marion, IN 46952-1701
Phone (765) 660-7800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.82 of 100Reported as group
Quality
71.45
Promoting interoperability
100
Improvement activities
40
Cost
75.59

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01054397AINMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marion General Hospital CurrentSince Aug 1, 2002 Accepting new patients
Marion General Hospital CurrentSince Aug 1, 2002 Accepting new patients
Progressive Cancer Care LLC PastSince Mar 28, 2008 Accepting new patients
Major Hospital Past Accepting new patients

Locations

4781 Kaybee Dr
Gas City, IN 46933
Phone (765) 660-7840

330 N Wabash Ave
Ste G-20
Marion, IN 46952
Phone (765) 660-7600

831 N Theatre Dr
Marion, IN 46952
Phone (765) 660-7800

441 N Wabash Ave
Marion, IN 46952
Phone (219) 482-4577

Interoperability endpoints

  • Direct secure messaging: rathipriya.mahendran@mgh.eclinicaldirectplus.com

Organizations & group practices 4

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 4

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": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603152000000",
    "number": "1982685533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 NORTH WABASH AVE",
            "address_2": "SUITE G20",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469522600",
            "telephone_number": "765-660-7600",
            "fax_number": "765-651-7313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 THEATRE DRIVE",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469524470",
            "telephone_number": "765-660-7800",
            "fax_number": "765-662-4470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHENDRAN",
        "first_name": "RATHIPRIYA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-10",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "IN",
            "license": "01054397A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000214428",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200371420",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rathipriya.mahendran@mgh.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "831 Theatre Drive",
            "city": "Marion",
            "state": "IN",
            "country_code": "US",
            "postal_code": "469524470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marion, IN

Sources for this page

Verify at the official NPI Registry.