Mark Jay McGillem, M.D.
NPI 1700877339ActiveIndividual· Internal Medicine· Mishawaka, IN
Internal Medicine (M.D.) in Mishawaka, Indiana, licensed in IN, with an NPI issued in November 2005. Medicare paid $14,805 for services to 163 patients in 2024.
Overview
| NPI | 1700877339 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Nov 2, 2005 |
| Last updated in NPPES | Mar 15, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 01051194A | IN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 163 |
|---|---|
| Services billed | 171 across 3 procedure codes |
| Paid by Medicare | $14,805 |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Internal Medicine providers in Mishawaka
- 1538653001
- 1306011606
- 1740235183
- 1841238490
- 1548476120
- 1477889889
- 1780671883
- 1538255609
- 1053308551
- 1316294200
- 1649409335
- 1912952151