Dr. Mitchell Robert McClean, MD
Internal Medicine in Indianapolis, IN. Individual provider (NPI-1).
NPI number1356797948
StatusActive
Last updated in NPPESJan 23, 2023
Details
- NPI
- 1356797948
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mitchell Robert McClean
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 12, 2016
- Certification date
- Jan 23, 2023
- Last updated
- Jan 23, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - INTERNAL MEDICINE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 01082310A | IN | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | 11018640A | IN |
Practice location
550 University BlvdIndianapolis, IN 46202-5149
Phone 317-944-8660 · Fax 317-944-1289
Mailing address
250 N Shadeland AveIndianapolis, IN 46219-4959
Other practice locations
1120 W Michigan St
Gatch Hall, Cl 630
Indianapolis, IN 46202-5209
Gatch Hall, Cl 630
Indianapolis, IN 46202-5209
Phone 317-278-2694 · Fax 317-278-2650
1700 W 10th St
Indianapolis, IN 46222-3802
Indianapolis, IN 46222-3802
Phone 317-636-4400
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