Lake Mi Mobile Doctors, P.C.
NPI 1740457555ActiveOrganization· Internal Medicine, Geriatric Medicine· Indianapolis, IN
Internal Medicine, Geriatric Medicine in Indianapolis, Indiana, registered in NPPES in May 2008. The authorized official on file is Tysyn Contreras, Director, Quality Assurance.
Overview
| NPI | 1740457555 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 12, 2008 |
| Last updated in NPPES | Apr 23, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Geriatric Medicine Primary | 207RG0300X | — | — |
| Podiatrist | 213E00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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 |
|---|
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