Active NPI
Rana Prathap Mercy Pathrose, MD
- Psychiatry Physician
- Muncie, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 01082932A
- Practice address
- 2401 W University Ave Ste 3500a
Muncie, IN 47303-3428 - Phone
- (765) 289-5420
- Fax
- (765) 281-2150
- NPI assigned
- Jul 2, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 2015019698 | MO | |
| Psychiatry Physician | 2084P0800X | 01082932A | IN | Primary |
Addresses
Primary practice location
2401 W University Ave Ste 3500a
Muncie, IN 47303-3428
Mailing address
250 N Shadeland Ave
Indianapolis, IN 46219-4959
Other practice location 1
1438 S Grand Blvd
Saint Louis, MO 63104-1027
Phone (314) 977-4850
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rpmercypathrose@direct.iuhealth.org | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258
2401 W University Ave
Muncie, IN 47303-3428
Phone (765) 747-3111
Hospital & facility affiliations
- Indiana University Health Ball Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meridian Health Services Corp. | Current | Accepting new patients | |
| Iu Health Medical Group, LLC | Current | Accepting new patients | |
| Meridian Health Services Corp | Current | Accepting new patients | |
| Indiana University Health Ball Memorial Physicians, Inc. | Psychiatry | Current | Accepting new patients |
| Meridian Health Services Corp. | Past | Accepting new patients | |
| Indiana University Health Ball Memorial Physicians, Inc. | Past | Accepting new patients |
Locations
3832 Solutions Ctr
Chicago, IL 60677
5230 E Stop 11 Rd
Ste 300
Indianapolis, IN 46237
Phone (317) 781-4588
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
2401 W University Ave
Ste 3500A
Muncie, IN 47303
Phone (765) 702-2819
221 N Celia Ave
Muncie, IN 47303
Phone (765) 747-3141
2401 W University Ave
Muncie, IN 47303
Phone (765) 747-3111
240 N Tillotson Ave
Muncie, IN 47304
Interoperability endpoints
- rpmercypathrose@direct.iuhealth.org
- pathrose.rana.p1@direct.meridianhs.nextgenshare.com
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Muncie, IN
- NPI 1235455544
Psychiatry
-
- General Practice Physician
- Indianapolis, IN
- NPI 1326893777
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Muncie, IN
- NPI 1992755490
-
- Federally Qualified Health Center (FQHC)
- Montpelier, IN
- NPI 1417838574
-
- Hospitalist Physician
- Muncie, IN
- NPI 1598938037
-
- Federally Qualified Health Center (FQHC)
- Indianapolis, IN
- NPI 1972288736
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Muncie, IN
- NPI 1225195340
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680220800000",
"number": "1992188395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 N SHADELAND AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462194959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 W UNIVERSITY AVE STE 3500A",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473033428",
"telephone_number": "765-289-5420",
"fax_number": "765-281-2150"
}
],
"practiceLocations": [
{
"address_1": "1438 S Grand Blvd",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631041027",
"country_code": "US",
"telephone_number": "314-977-4850",
"fax_number": "314-977-4880",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MERCY PATHROSE",
"first_name": "RANA PRATHAP",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-02",
"last_updated": "2023-03-31",
"certification_date": "2023-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MO",
"license": "2015019698",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IN",
"license": "01082932A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rpmercypathrose@direct.iuhealth.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2401 W University Ave Ste 3500A",
"city": "Muncie",
"state": "IN",
"country_code": "US",
"postal_code": "473033428",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Muncie, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; 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.