JOTHIHARAN MAHENTHIRAN (NPI# 1093779910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093779910 |
| Entity Type | Individual |
| Full Name | JOTHIHARAN MAHENTHIRAN |
| Credential | M.D. |
| Practice Address |
8075 N Shadeland Ave Suite 200 Indianapolis IN 46250-2693 |
| Mailing Address |
6626 E 75th St Suite 500 Indianapolis IN 46250-2805 |
| Practice Telephone | 3176218500 |
| Practice Fax Number | 3176218501 |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2014-12-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
01054396 | IN | Allopathic & Osteopathic Physicians |
| N | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
01054396A | IN | Allopathic & Osteopathic Physicians |
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
01054396A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | RR MEDICARE PIN | P01019183 | 01 |
| IN | RR MEDICARE PTAN | P01214701 | 01 |
| IN | 200355740 | 05 |
| Street Address |
8075 N SHADELAND AVE SUITE 200 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46250-2693 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922005289 | Angela Kaye Unfried | Physician Assistant | 8075 N Shadeland Ave, Suite 120, Indianapolis, IN 46250-2693 | 2005-07-01 |
| 1780158352 | Kay Ellen Simon | Nurse Practitioner | 8075 N Shadeland Ave, Indianapolis, IN 46250-2693 | 2019-01-17 |
| 1831667823 | Jaswinder Jalf | Nurse Practitioner | 8075 N Shadeland Ave, Indianapolis, IN 46250-2693 | 2018-11-07 |
| 1588130108 | Diane Marie Doty | Clinical Nurse Specialist | 8075 N Shadeland Ave, Indianapolis, IN 46250-2693 | 2018-10-22 |
| 1457887622 | Kelly Ann Lowe | Registered Nurse | 8075 N Shadeland Ave, Indianapolis, IN 46250-2693 | 2017-05-10 |
| 1548713290 | Lacey Keller | Registered Nurse | 8075 N Shadeland Ave, Ste 200, Indianapolis, IN 46250-2693 | 2016-07-29 |
| 1326480948 | Kelly L Warren | Registered Nurse | 8075 N Shadeland Ave, Suite 200, Indianapolis, IN 46250-2693 | 2013-07-24 |
| 1780025247 | Community Health Network | General Acute Care Hospital | 8075 N Shadeland Ave, Indianapolis, IN 46250-2693 | 2013-07-12 |
| 1780021758 | Kendra Marie Storer | Registered Nurse | 8075 N Shadeland Ave, Suite 200, Indianapolis, IN 46250-2693 | 2013-05-30 |
| 1356787493 | Jennifer Ruth Heisick | Nurse Practitioner | 8075 N Shadeland Ave, Suite 200, Indianapolis, IN 46250-2693 | 2013-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861037004 | Angela L Davis | Pharmacist | 8520 Bash St, Indianapolis, IN 46250 | 2019-11-12 |
| 1710455738 | Physicians Wellness Associates LLC | Family Medicine | 4735 Statesmen Drive, Suite C, Indianapolis, IN 46250 | 2018-11-07 |
| 1891222584 | Confidential Drug LLC | Pharmacy | 8520 Bash St Ste D, Indianapolis, IN 46250 | 2017-05-12 |
| 1659813590 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 8257 Center Run Rd, Indianapolis, IN 46250 | 2016-11-09 |
| 1194275669 | Lucina Treatment Center, LLC | Internal Medicine | 8140 Castleton Rd, Indianapolis, IN 46250 | 2016-10-09 |
| 1609126150 | Joseph Lee Deck | Physical Therapist | 7400 Jewel Lane, Indianapolis, IN 46250 | 2012-09-12 |
| 1447508254 | Choices Coordinated Care Solutions, Inc. | Clinic/Center | 7941 Castleway Drive, Indianapolis, IN 46250 | 2012-08-28 |
| 1568719854 | Lynda L. Blackwelder, LLC | Marriage & Family Therapist | 4735 Statesmen Dr., Suite A, Indianapolis, IN 46250 | 2012-08-06 |
| 1972859452 | Courtney B. Cortez | Nurse Practitioner | 12400 N Meridian Ste 100, Suite 500, Indianapolis, IN 46250 | 2012-08-02 |
| 1861761934 | Kb Medical, Inc. | Durable Medical Equipment & Medical Supplies | 8455, Castlewood Drive, Suite J, Idianapolis, IN 46250 | 2011-12-20 |
| Find all providers in zip 46250 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124381751 | Robert W Godley II | Internal Medicine | Community Physicians of Indiana, Inc., 1402 E. County Line Rad, Indianapolis, IN 46227-0963 | 2012-06-19 |
| 1154550143 | Vitality Health Group | Internal Medicine | 1702 W Michigan St, Indianapolis, IN 46222-3983 | 2009-07-10 |
| 1689860819 | Mohammad M Marashdeh | Internal Medicine | 1400 N Ritter Ave Ste 520, Indianapolis, IN 46219-3052 | 2007-09-20 |
| 1346448305 | Mark Daniel Fisch | Internal Medicine | 1801 N Senate Boulevard, Suite 310, Indianapolis, IN 46202-1196 | 2007-07-10 |
| 1669550588 | Heart Partners of Indiana LLC | Internal Medicine | 8075 N Shadeland, #350, Indianapolis, IN 46250 | 2006-11-01 |
| 1821186933 | Bertram Anthony Graves | Internal Medicine | 3737 N. Meridian St., Suite 104, Indianapolis, IN 46208-4357 | 2006-10-11 |
| 1902860752 | Douglas P Zipes | Internal Medicine | 1801 N Capitol Ave, Indianapolis, IN 46202-1217 | 2006-04-17 |
| 1275532525 | Richard Hahn | Internal Medicine | 1207 Selkirk Ln, Indianapolis, IN 46260-1227 | 2005-07-19 |
| 1487651329 | Louis F. Janeira | Internal Medicine | 5330 E Stop 11 Rd, Indianapolis, IN 46237-6345 | 2005-07-07 |
| 1922560465 | Cind Care of In, LLC | Internal Medicine | 120 E Market St Ste 1271, Indianapolis, IN 46204-3250 | 2019-04-03 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46250 |
Please comment or provide details below to improve the information on JOTHIHARAN MAHENTHIRAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.