MARA LEBO
NPI 1124911557
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Q: What is Mara Lebo's NPI number?

The NPI number for Mara Lebo is 1124911557. It was assigned to this individual provider in the NPPES registry on June 3, 2025.

Q: What is Mara Lebo's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Mara Lebo was last updated on June 3, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 03, 2025PECOS Enrolled

1121 W MICHIGAN ST, INDIANAPOLIS, IN 46202(317) 274-7433 Get Directions Write a Review

NPPES record last updated: June 3, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mara Lebo NPPES

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

MARA LEBO (NPI 1124911557) is an individual student in an organized health care education/training program in Indianapolis, Indiana and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124911557

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameMARA LEBO

Location Address1121 W MICHIGAN STIndianapolis, IN 46202-5211

Mailing Address220 N Meridian St Apt 1106Indianapolis, IN 46204-2377 · (217) 521-5004

Phone(317) 274-7433

Sole ProprietorNo

Enumeration DateJune 3, 2025

NPPES CertifiedJune 3, 2025

✔ NPI 1124911557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1121 W MICHIGAN ST, Indianapolis, IN 46202

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mara Lebo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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