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MINI SRA
NPI 1003122003
Internal Medicine in Mishawaka, IN

Active since August 27, 2010PECOS EnrolledAccepts Medicare Assignment
80.87/100
CMS Quality Rating
5215 HOLY CROSS PKWY, MISHAWAKA, IN 46545(574) 335-2521(574) 335-2262 Get Directions Write a Review

NPPES record last updated: November 3, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mini Sra NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MINI SRA (NPI 1003122003) is an individual internal medicine provider in Mishawaka, Indiana, licensed in Indiana (01072359A) and active in the NPI registry since August 2010. She is enrolled in Medicare PECOS, is affiliated with Crawford Memorial Hospital, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1003122003
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMINI SRA
Location Address5215 HOLY CROSS PKWYMishawaka, IN 46545-1469
Mailing Address5215 Holy Cross PkwyMishawaka, IN 46545-1469 · (574) 335-2521 · Fax (574) 335-2262
Phone(574) 335-2521
Fax(574) 335-2262
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateAugust 27, 2010
Last NPPES UpdateNovember 3, 2016
✔ NPI 1003122003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IN · 01072359A
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
5215 HOLY CROSS PKWY, Mishawaka, IN 46545
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Other Names 1

Former Name (1)Mandeep Sra Mbbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mini Sra is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2264668698
PECOS Enrollment IDI20131113001394
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
2,064 services527 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
317 services287 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
170 services165 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
102 services96 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
19 services18 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Crawford Memorial Hospital

Critical Access Hospitals · Robinson, IL
OwnershipGovernment - Hospital District or Authority
CMS Certification Number141343
Location1000 North Allen StreetRobinson, IL 62454 · Crawford County
Emergency services

Good Samaritan Hospital

Acute Care Hospitals · Vincennes, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number150042
Location520 S 7th StVincennes, IN 47591 · Knox County
Emergency services Birthing friendly

Indiana University Health

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150056
Location1701 N Senate BlvdIndianapolis, IN 46202 · Marion County
Emergency services Birthing friendly

Deaconess Hospital Inc

Acute Care Hospitals · Evansville, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150082
Location600 Mary StEvansville, IN 47710 · Vanderburgh County
Emergency services

Ascension St Vincent Evansville

Acute Care Hospitals · Evansville, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150100
Location3700 Washington AveEvansville, IN 47750 · Vanderburgh County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46545 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.87/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.47
Improvement Activities40
Cost57.57

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers61 claims61 services$19.85 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
5 suppliers64 claims64 services$109.66 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARA ASHAR DPM
Student in an Organized Health Care Education/Training Program
5215 HOLY CROSS PKWY
MISHAWAKA, IN 46545
St. Joseph County (574) 335-6817
VALORIE ALCOCER RN
Registered Nurse
5215 HOLY CROSS PKWY
MISHAWAKA, IN 46545
St. Joseph County (574) 335-5000
MEGAN MICHELLE POOLE PA-C
Physician Assistant
5215 HOLY CROSS PKWY
MISHAWAKA, IN 46545
St. Joseph County (574) 335-5000
DR. ELIZABETH MARIE LAUBER M.D.
Internal Medicine
5215 HOLY CROSS PKWY
MISHAWAKA, IN 46545
St. Joseph County (574) 335-2521
MRS. MAYRA LINDBORG NP
Nurse Practitioner (Neonatal, Critical Care)
5215 HOLY CROSS PKWY
MISHAWAKA, IN 46545
St. Joseph County (574) 335-4145
MAYELIN LORA-WILLIAMS RD
Dietitian, Registered
5215 HOLY CROSS PKWY
MISHAWAKA, IN 46545
St. Joseph County (574) 335-0001
HEATHER ORT APN
Nurse Practitioner (Family)
5215 HOLY CROSS PKWY
MISHAWAKA, IN 46545
St. Joseph County (574) 335-5000
DR. CHRISTY LYNN ANNIS M.D.
Emergency Medicine
5215 HOLY CROSS PKWY, EMERGENCY DEPARTMENT
MISHAWAKA, IN 46545
St. Joseph County (574) 335-5000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mini Sra's NPI number?

The NPI number for Mini Sra is 1003122003. It was assigned to this individual provider in the NPPES registry on August 27, 2010. The provider is also known as Mandeep Sra Mbbs.

Where is Mini Sra located?

Mini Sra practices at 5215 Holy Cross Pkwy, Mishawaka, IN 46545. The listed phone number is (574) 335-2521.

What is Mini Sra's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Mini Sra enrolled in Medicare?

Yes. Mini Sra is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mini Sra accept?

Health plans from AvMed and CareSource list Mini Sra as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Mini Sra affiliated with any hospitals?

According to CMS data, Mini Sra is affiliated with Crawford Memorial Hospital, Good Samaritan Hospital, Indiana University Health, Deaconess Hospital Inc and Ascension St Vincent Evansville.

When was this NPI record last updated?

The NPPES record for Mini Sra was last updated on November 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.