Mitchell D Krathwohl, MD | |
550 University Blvd # Uh3005, Indianapolis, IN 46202-5149 | |
(317) 962-8851 | |
(317) 962-5957 |
Full Name | Mitchell D Krathwohl |
---|---|
Gender | Male |
Speciality | Infectious Disease |
Experience | 31 Years |
Location | 550 University Blvd # Uh3005, Indianapolis, Indiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447225818 | NPI | - | NPPES |
000000377245 | Other | IN | ANTHEM ID NUMBER |
200206000 | Medicaid | IN | |
000000720384 | Other | IN | ANTHEM PROVIDER NUMBER FOR TIN 35-2030653 |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 01046293A (Indiana) | Secondary |
207RI0200X | Internal Medicine - Infectious Disease | 01046293A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Indiana University Health | Indianapolis, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Indiana University Health Care Associates Inc | 5799755864 | 905 |
University Family Physicians, Inc. | 7911992797 | 424 |
Entity Name | University Family Physicians, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043275787 PECOS PAC ID: 7911992797 Enrollment ID: O20040420000393 |
Entity Name | Indiana University Health Care Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902032832 PECOS PAC ID: 5799755864 Enrollment ID: O20040727000955 |
Entity Name | Raphael Health Center, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487764759 PECOS PAC ID: 4486562659 Enrollment ID: O20041227000466 |
Mailing Address | Practice Location Address |
---|---|
Mitchell D Krathwohl, MD 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () - | Mitchell D Krathwohl, MD 550 University Blvd # Uh3005, Indianapolis, IN 46202-5149 Ph: (317) 962-8851 |
Irene A Carrothers, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 1701 Senate Blvd, Indianapolis, IN 46202 Phone: 317-963-8776 Fax: 317-963-5285 | |
Liam P Howley, MD Infectious Disease Medicare: Medicare Enrolled Practice Location: 1001 West 10th St Opw-m200, Indiana University Department Of Medicine, Indianapolis, IN 46202 Phone: 317-630-6560 | |
Cristina Nancy Perez Chumbiauca, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 550 University Blvd, Indianapolis, IN 46202 Phone: 317-944-5000 | |
Dr. Andrew Jonathen Ortega, DO Infectious Disease Medicare: Medicare Enrolled Practice Location: 702 Rotary Cir, Indianapolis, IN 46202 Phone: 317-278-4427 | |
Lawrence John Born, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 8424 Naab Rd, #3-j, Indianapolis, IN 46260 Phone: 317-872-7396 Fax: 317-879-8328 | |
Brian T Robinson, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 1001 W 10th St, Indianapolis, IN 46202 Phone: 317-630-7979 Fax: 317-630-2668 | |
Steven T Hugenberg, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 550 University Blvd, Indianapolis, IN 46202 Phone: 317-944-8660 |