Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1356509954 Individual Practitioner Female Practitioner

Dr. Julia Lane Mitchell , MD

Pediatrics • Indianapolis, IN

Professional Overview & Biography Verified Profile Summary

Dr. Julia Mitchell, MD is a registered healthcare professional specializing in Pediatrics in Indianapolis, IN. Practice services are available at 5715 DECATUR BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5715 Decatur Blvd

Indianapolis, IN 462419561

Telephone 3174552366
Associated Practice Facility / Clinic
🏢 Damar Pharmacy Services Facility NPI 1700413721

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Indianapolis, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.4 Yrs
State Avg: 19.8 Yrs
Regional Practice Density
387 Specialists

Practicing in Indianapolis, IN (1179 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-11-20
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License IN 01094610A

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.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License KY 47645

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
201264250 (IN)
Medicaid State Provider ID
7100315590 (KY)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
NPI 1144169103

Master of Social Work, Licensed Social Worker

Kathleen Tierney , MS, RDN, LD

Dietitian, Registered

NPI 1144172396

Master of Science, Registered Dietitian Nutritionist, Licensed Dietitian

NPI 1578693156

Doctor of Psychology (Psy.D.), HSPP

NPI 1629953971

MASTERSOCIALWORK

Songwah Alerding , PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1679372866

Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

18 Historical Events
📍
Updated Practice Location September 17, 2024

Registered at 5715 DECATUR BLVD, INDIANAPOLIS, IN 462419561 (Tel: 3174552366)

📍
Updated Business Mailing Address September 17, 2024

Registered at 5715 DECATUR BLVD, INDIANAPOLIS, IN 462419561 (Tel: 3174552366)

📍
Updated Practice Location April 01, 2020

Registered at 760 S. HANCOCK ST, B100, LOUISVILLE, KY 40203 (Tel: 5022427458)

📍
Updated Business Mailing Address April 01, 2020

Registered at 760 S HANCOCK ST B100, LOUISVILLE, KY 402032449 (Tel: 5022427458)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 16, 2018

Pediatrics (License #47645 in KY)

📍
Updated Business Mailing Address March 29, 2018

Registered at PO BOX 950244, LOUISVILLE, KY 402950244 (Tel: 8122188926)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 29, 2018

Pediatrics (License #21441 in MS)

NPI Profile Active October 28, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location October 28, 2017

Registered at 834 E BROADWAY, LOUISVILLE, KY 402041072 (Tel: 5025831981)

📍
Updated Business Mailing Address October 28, 2017

Registered at PO BOX 909, LOUISVILLE, KY 402010909 (Tel: 5025883440)

👤
Provider Name / Credentials Updated October 28, 2017

Recorded as JULIA MITCHELL, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 28, 2017

Pediatrics (License #47645 in KY)

NPI Profile Active December 10, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location December 10, 2014

Registered at 555 S FLOYD ST, LOUISVILLE, KY 402023822 (Tel: 5025883440)

📍
Updated Business Mailing Address December 10, 2014

Registered at PO BOX 909, LOUISVILLE, KY 402010909 (Tel: 5025883440)

👤
Provider Name / Credentials Updated December 10, 2014

Recorded as JULIA MITCHELL, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 10, 2014

Pediatrics (License #47645 in KY)

🟢
Initial NPI Registration & Enumeration May 30, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1356509954
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 30, 2008
Last Update: November 20, 2024
Sole Proprietor: No

Mailing Address

5715 Decatur Blvd

Indianapolis, IN 462419561

Phone: 3174552366

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.