1. Home
  2. Directory
  3. Indiana
  4. Polis
  5. Obstetrics Gynecology
  6. NPI Profile

LISA ANNETTE MIMS MD
NPI 1629197041
Obstetrics & Gynecology in Indianapolis, IN

Active since March 28, 2007PECOS EnrolledAccepts Medicare Assignment
550 N. UNIVERSITY BLVD,, UH2440, INDIANAPOLIS, IN 46202(317) 217-2400(317) 278-9918 Get Directions Write a Review

NPPES record last updated: September 24, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 14, 2025, Nov 7, 2023, Jul 5, 2022 and 1 more (4 updates tracked since 2020).

About Lisa Annette Mims Md NPPES

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

LISA ANNETTE MIMS MD (NPI 1629197041) is an individual obstetrics & gynecology provider in Indianapolis, Indiana, licensed in Indiana (01058650A) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS, is affiliated with Eskenazi Health, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1629197041
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameLISA ANNETTE MIMSCredential: MD
Location Address550 N. UNIVERSITY BLVD,, UH2440Indianapolis, IN 46202-5274
Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959
Phone(317) 217-2400
Fax(317) 278-9918
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateMarch 28, 2007
Last NPPES UpdateSeptember 24, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2025
✔ NPI 1629197041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in IN · 01058650A✔ Licensed in IL · 036096055✔ Licensed in IL · 036.096055
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.
550 N. UNIVERSITY BLVD,, Indianapolis, IN 46202
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12700 Dr Martin Luther King Jr StIndianapolis, IN 46208-5019 · Phone (317) 931-4300
Location 21701 N Senate BlvdIndianapolis, IN 46202-1239 · Phone (888) 484-3258

Other Identifiers 1

Medicaid200924630IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lisa Annette Mims Md 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 ID941353460
PECOS Enrollment IDI20090731000262
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

4

Medicare enrollment records show Lisa Mims reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Obstetricians-Gynecologists,inc
Same address
Obstetrics & Gynecology
550 UNIVERSITY BLVD, UH2440
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 96 clinicians in this Medicare group
NPI 1235177924 (317) 274-1661
Eskenazi Medical Group Inc
0.4 mi
Preventive Medicine/Occupational Environmental Medicine
640 ESKENAZI AVE STE F1-200
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 386 clinicians in this Medicare group
NPI 1811407729 (317) 880-3303
The Health And Hospital Corporation Of Marion County
0.4 mi
Nurse Practitioner
720 ESKENAZI AVE
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 564 clinicians in this Medicare group
NPI 1104027879 (317) 880-4082
Iu Health Medical Group, LLC
1.2 mi
General Practice
1701 N SENATE BLVD
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 5,212 clinicians in this Medicare group
NPI 1326893777 (317) 962-2000

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

Hospital Affiliations CMS Care Compare

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

Eskenazi Health

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150024
Location720 Eskenazi AvenueIndianapolis, IN 46202 · Marion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46202 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.

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 Lisa Mims's NPI number?

The NPI number for Lisa Mims is 1629197041. It was assigned to this individual provider in the NPPES registry on March 28, 2007.

Where is Lisa Mims located?

Lisa Mims practices at 550 N. University Blvd, Uh2440, Indianapolis, IN 46202. The listed phone number is (317) 217-2400.

What is Lisa Mims's specialty?

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

Is Lisa Mims enrolled in Medicare?

Yes. Lisa Mims 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.

Which organizations bill Medicare for Lisa Mims's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Mims reassigns Medicare benefits to 4 organizations: University Obstetricians-Gynecologists,inc (Indianapolis, IN), Eskenazi Medical Group Inc (Indianapolis, IN), The Health And Hospital Corporation Of Marion County (Indianapolis, IN) and Iu Health Medical Group, LLC (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 Lisa Mims's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Mims accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Lisa Mims 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 Lisa Mims affiliated with any hospitals?

According to CMS data, Lisa Mims is affiliated with Eskenazi Health.

When was this NPI record last updated?

The NPPES record for Lisa Mims was last updated on September 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.