MICHAEL LENWOOD BOOTHE M.D.
NPI 1558357079
Obstetrics & Gynecology in Mooresville, IN

Active since September 20, 2005PECOS Enrolled
1205 HADLEY RD, MOORESVILLE, IN 46158(317) 584-3454(317) 584-3435 Get Directions Write a Review

NPPES record last updated: March 7, 2018. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 7, 2018, Dec 11, 2017 (2 updates tracked since 2017).

About Michael Lenwood Boothe M.d. NPPES

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

MICHAEL LENWOOD BOOTHE M.D. (NPI 1558357079) is an individual obstetrics & gynecology provider in Mooresville, Indiana, licensed in Indiana (01032979A) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558357079
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameMICHAEL LENWOOD BOOTHECredential: M.D.
Location Address1205 HADLEY RDMooresville, IN 46158-1737
Mailing Address8051 S Emerson Ave, Suite 400Indianapolis, IN 46237-8600 · (317) 865-3600
Fax(317) 584-3435
Sole ProprietorNo
Enumeration DateSeptember 20, 2005
Last NPPES UpdateMarch 7, 20182 updates tracked since enumeration
✔ NPI 1558357079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in IN · 01032979A
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1205 HADLEY RD, Mooresville, IN 46158

Other Identifiers 1

Medicaid100191150IN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Lenwood Boothe M.d. 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

2

Medicare enrollment records show Michael Boothe reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Obstetrics & Gynecology
8051 S EMERSON AVE STE 400
Indianapolis, IN 46237
  • Reassigned Medicare billing, Indiana enrollment
  • 135 clinicians in this Medicare group
Obstetrics & Gynecology
8051 S EMERSON AVE STE 400
Indianapolis, IN 46237
  • Reassigned Medicare billing, Indiana enrollment
  • 13 clinicians in this Medicare group

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 46158 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
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

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

Obstetrics & Gynecology
1205 HADLEY RD
MOORESVILLE, IN 46158
Obstetrics & Gynecology (Gynecology)
1205 HADLEY RD
MOORESVILLE, IN 46158
Obstetrics & Gynecology
1205 HADLEY RD
MOORESVILLE, IN 46158
Nurse Practitioner (Women's Health)
1205 HADLEY RD
MOORESVILLE, IN 46158
Obstetrics & Gynecology (Gynecology)
1205 HADLEY RD
MOORESVILLE, IN 46158
Obstetrics & Gynecology
1205 HADLEY RD
MOORESVILLE, IN 46158
Obstetrics & Gynecology
1205 HADLEY RD
MOORESVILLE, IN 46158

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 Michael Boothe's NPI number?

The NPI number for Michael Boothe is 1558357079. It was assigned to this individual provider in the NPPES registry on September 20, 2005.

Where is Michael Boothe located?

Michael Boothe practices at 1205 Hadley Rd, Mooresville, IN 46158. The listed phone number is (317) 584-3454.

What is Michael Boothe's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Michael Boothe enrolled in Medicare?

Yes. Michael Boothe is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Michael Boothe's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Boothe reassigns Medicare benefits to 2 organizations: Seven Hills Ob-Gyn Associates, LLC (Indianapolis, IN) and Southside Ob-Gyn PC (Indianapolis, IN). 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 Michael Boothe's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Michael Boothe was last updated on March 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.