Provider Demographics
NPI:1043304090
Name:KAUFMANN, MICHAEL (MD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:
Last Name:KAUFMANN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5245 N COUNTY ROAD 600 E
Mailing Address - Street 2:
Mailing Address - City:BROWNSBURG
Mailing Address - State:IN
Mailing Address - Zip Code:46112-9481
Mailing Address - Country:US
Mailing Address - Phone:317-514-6985
Mailing Address - Fax:
Practice Address - Street 1:LILLY CORPORATE CENTER
Practice Address - Street 2:639 SOUTH DELAWARE ST.
Practice Address - City:INDIANAPOLIS, INDIANA
Practice Address - State:IN
Practice Address - Zip Code:46225-4622
Practice Address - Country:US
Practice Address - Phone:463-209-3115
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2023-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01053866A207PE0004X
IN01053866207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200326480Medicaid
H33832Medicare UPIN