| 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 | 32 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 | 914 |
| University Family Physicians, Inc. | 7911992797 | 429 |
| 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 | |
Dr. Satish Kenchaiah, MD, MPH Infectious Disease Medicare: Medicare Enrolled Practice Location: 1481 W 10th St, Indianapolis, IN 46202 Phone: 317-988-4989 | |
Gretchen Suarez, Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 1120 W Michigan St, Indianapolis, IN 46202 Phone: 317-278-0042 Fax: 317-278-0027 | |
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 | |
Dr. Omair Ahmad Syed, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 640 Eskenazi Ave # F2-600, Indianapolis, IN 46202 Phone: 317-278-5570 |