MY MOBILE MD ILLINOIS LLC
NPI 1366324543
Family Medicine in Indianapolis, IN
About My Mobile Md Illinois Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MY MOBILE MD ILLINOIS LLC (NPI 1366324543) is a healthcare organization registered as a family medicine in Indianapolis, Indiana and active in the NPI registry since July 2025. The organization lists Steve Martin, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
My Mobile Md Illinois Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to My Mobile MD Illinois LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
Indianapolis, IN 46202
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 My Mobile MD Illinois LLC's NPI number?
The NPI number for My Mobile MD Illinois LLC is 1366324543. It was assigned to this organization in the NPPES registry on July 21, 2025.
Where is My Mobile MD Illinois LLC located?
My Mobile MD Illinois LLC is located at 429 E Vermont St Ste 110, Indianapolis, IN 46202. The listed phone number is (317) 559-0950.
What is My Mobile MD Illinois LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is My Mobile MD Illinois LLC enrolled in Medicare?
Yes. My Mobile MD Illinois LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through My Mobile MD Illinois LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to My Mobile MD Illinois LLC. A 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 the clinician's services. The largest specialties are Nurse Practitioner (4) and Internal Medicine (1). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for My Mobile MD Illinois LLC was last updated on July 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.
# My Mobile Md Illinois Llc · NPI 1366324543
Family Medicine organization in Indianapolis, Indiana. Organization record, active in the CMS NPPES registry since July 21, 2025.
## Identity
- **NPI:** 1366324543 (Entity type: Organization)
- **Enumerated:** July 21, 2025
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Steve Martin, CEO
## Practice location
- **Address:** 429 E VERMONT ST STE 110, Indianapolis, IN 46202-3685
- **Phone:** (317) 559-0950
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (4), Internal Medicine (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 21, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1366324543) · Data from the CMS NPPES public registry.