Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1174797179 Individual Practitioner Female Practitioner

Dr. Mamata Eagam , DO

Pediatrics • Warsaw, IN

Professional Overview & Biography Verified Profile Summary

Dr. Mamata Eagam, DO is a registered healthcare professional specializing in Pediatrics in Warsaw, IN. Practice services are available at 902 PROVIDENT DRIVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

902 Provident Drive
Suite A

Warsaw, IN 465803379

Telephone 5742698338
Fax 5742698339
Associated Practice Facility / Clinic
🏢 Psychiatric Innovations Pc Facility NPI 1578583910

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Warsaw, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.8 Yrs
Regional Practice Density
6 Specialists

Practicing in Warsaw, 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

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License FL OS14468

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 IN 02004718A

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.

Practice Associates & Co-Workers

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

3 Associated Practitioners
Rachel Jones , FNP

Nurse Practitioner - Family

NPI 1023361276

Family Nurse Practitioner

NPI 1285653956

Doctor of Medicine (M.D.)

Mallori Zechiel , FNP-C

Nurse Practitioner - Primary Care

NPI 1740137033

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 07, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location June 07, 2016

Registered at 902 PROVIDENT DRIVE, SUITE A, WARSAW, IN 465803379 (Tel: 5742698338)

📍
Updated Business Mailing Address June 07, 2016

Registered at 6920 POINTE INVERNESS WAY, SUITE 200, FORT WAYNE, IN 468047934 (Tel: 2604793513)

👤
Provider Name / Credentials Updated June 07, 2016

Recorded as MAMATA EAGAM, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 07, 2016

Pediatrics (License #02004718A in IN)

🟢
Initial NPI Registration & Enumeration April 22, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1174797179
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 22, 2008
Last Update: October 10, 2019
Sole Proprietor: No

Mailing Address

6920 Pointe Inverness Way, Suite 200

Fort Wayne, IN 468047934

Phone: 2604793513

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.