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MAMATA EAGAM DO
NPI 1174797179
Pediatrics in Warsaw, IN

Active since April 22, 2008PECOS Enrolled
902 PROVIDENT DRIVE, SUITE A, WARSAW, IN 46580(574) 269-8338(574) 269-8339 Get Directions Write a Review

NPPES record last updated: October 10, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mamata Eagam Do NPPES

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

MAMATA EAGAM DO (NPI 1174797179) is an individual pediatrics provider in Warsaw, Indiana, licensed in Florida (OS14468) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174797179
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameMAMATA EAGAMCredential: DO
Location Address902 PROVIDENT DRIVE, SUITE AWarsaw, IN 46580-3379
Mailing Address6920 Pointe Inverness Way, Suite 200Fort Wayne, IN 46804-7934 · (260) 479-3513 · Fax (260) 479-3520
Phone(574) 269-8338
Fax(574) 269-8339
Sole ProprietorNo
Enumeration DateApril 22, 2008
Last NPPES UpdateOctober 10, 2019
✔ NPI 1174797179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in FL · OS14468✔ Licensed in IN · 02004718A
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
902 PROVIDENT DRIVE, Warsaw, IN 46580
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Ohio, Inc., Taro Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mamata Eagam Do 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Mamata Eagam reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ascension Medical Group-Southeast Wisconsin Inc
164 mi
Anesthesiology
2301 N LAKE DR
Milwaukee, WI 53211
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,343 clinicians in this Medicare group
NPI 1194473066 (414) 585-1000
Florida Hospital Medical Group Inc
911 mi
Family Medicine
1115 E RIDGEWOOD ST
Orlando, FL 32803
  • Reassigned Medicare billing, Florida enrollment
  • 3,005 clinicians in this Medicare group
NPI 1225034234 (407) 841-1100
Children's Physician Services Of South Texas
1,138 mi
Plastic Surgery
3533 S ALAMEDA ST
Corpus Christi, TX 78411
  • Reassigned Medicare billing, Texas enrollment
  • 510 clinicians in this Medicare group
NPI 1568658227 (361) 694-4444

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46580 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
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.

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 Mamata Eagam's NPI number?

The NPI number for Mamata Eagam is 1174797179. It was assigned to this individual provider in the NPPES registry on April 22, 2008.

Where is Mamata Eagam located?

Mamata Eagam practices at 902 Provident Drive Suite A, Warsaw, IN 46580. The listed phone number is (574) 269-8338.

What is Mamata Eagam's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Mamata Eagam enrolled in Medicare?

Yes. Mamata Eagam is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mamata Eagam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mamata Eagam reassigns Medicare benefits to 3 organizations: Ascension Medical Group-Southeast Wisconsin Inc (Milwaukee, WI), Florida Hospital Medical Group Inc (Orlando, FL) and Children's Physician Services Of South Texas (Corpus Christi, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mamata Eagam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mamata Eagam accept?

Health plans from Antidote Health Plan of Ohio, Inc. and Taro Health list Mamata Eagam 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.

When was this NPI record last updated?

The NPPES record for Mamata Eagam was last updated on October 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.