| Dr Som Dutt Tyagi, MD | |
|
500 W Votaw St, Portland, IN 47371-1322 | |
| (260) 726-7131 | |
| Not Available |
| Full Name | Dr Som Dutt Tyagi |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 23 Years |
| Location | 500 W Votaw St, Portland, 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 |
|---|---|---|---|
| 1366698177 | NPI | - | NPPES |
| 01072112A | Other | IN | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301092355 (Michigan) | Secondary |
| 207Q00000X | Family Medicine | 01072112A (Indiana) | Secondary |
| 207P00000X | Emergency Medicine | 01072112A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Indiana University Health Frankfort Inc | Frankfort, IN | Hospital |
| Woodlawn Hospital | Rochester, IN | Hospital |
| Terre Haute Regional Hospital | Terre haute, IN | Hospital |
| Parkview Whitley Hospital | Columbia city, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Concord Company Of Tennessee Pllc | 0345588109 | 40 |
| Emergency Professionals Of Indiana Pc | 4183604150 | 80 |
| Indiana University Health Care Associates Inc | 5799755864 | 914 |
| Clarksville Emergency Group Pc | 6507277423 | 132 |
| Emergency Medicine Services Of In, Llc | 6709241011 | 9 |
| Entity Name | Indiana University Health Ball Memorial Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235455544 PECOS PAC ID: 9537072640 Enrollment ID: O20031110000505 |
| Entity Name | Medical Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710932736 PECOS PAC ID: 0840184164 Enrollment ID: O20040209000976 |
| Entity Name | Emergency Professionals Of Indiana Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013951219 PECOS PAC ID: 4183604150 Enrollment ID: O20040721000612 |
| 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 | Southeastern Emergency Physicians Of Memphis Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437105277 PECOS PAC ID: 5395643209 Enrollment ID: O20090113000240 |
| Entity Name | Nes Of Sandusky Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972978583 PECOS PAC ID: 8022311729 Enrollment ID: O20160128002524 |
| Entity Name | My Mobile Md Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225495716 PECOS PAC ID: 1052617826 Enrollment ID: O20160304001699 |
| Entity Name | Cep America Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285103671 PECOS PAC ID: 6608056171 Enrollment ID: O20190214000611 |
| Entity Name | Concord Medical Group Of Kentucky Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346746385 PECOS PAC ID: 9133483894 Enrollment ID: O20191025000956 |
| Entity Name | Clarksville Emergency Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023487154 PECOS PAC ID: 6507277423 Enrollment ID: O20201125002335 |
| Entity Name | Emergency Medicine Services Of In, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982301040 PECOS PAC ID: 6709241011 Enrollment ID: O20230420000303 |
| Entity Name | Concord Company Of Tennessee Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649743667 PECOS PAC ID: 0345588109 Enrollment ID: O20240220002324 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Som Dutt Tyagi, MD 250 N Shadeland Ave Ste 200, Indianapolis, IN 46219-4959 Ph: (317) 963-3137 | Dr Som Dutt Tyagi, MD 500 W Votaw St, Portland, IN 47371-1322 Ph: (260) 726-7131 |
Dori Ditty, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 822 S 500 W, Portland, IN 47371 Phone: 260-726-9027 | |
Lesley M Scholl, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 822 S 500 W, Portland, IN 47371 Phone: 260-726-9027 | |
Patsy S Detamore-brush, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 822 S 500 W, Portland, IN 47371 Phone: 260-726-9027 Fax: 260-726-9529 | |
Dr. Mark Allen Haggenjos, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 428 West Votaw Street, Suite A, Portland, IN 47371 Phone: 260-726-8822 Fax: 260-726-7857 | |
Dr. Robert James Robinson, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 430 W Votaw St, Portland, IN 47371 Phone: 260-726-6515 Fax: 260-726-2814 |