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1922323047

NPI Code Detail

MEDICARE: KEVIN MICHAEL DISCHERT M.D.

MEDICARE: KEVIN MICHAEL DISCHERT M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	BP20040889	TX
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	60751362	WA
3	207RP1001X	Pulmonary Disease Physician	MD.206879	LA
4	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	99109477A	IN
5	208600000X	Surgery Physician	BPI-0036592	TX
6	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	MD.206879	LA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	8967531	OTHER	WA	MEDICARE PIN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1922323047
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KEVIN MICHAEL DISCHERT M.D.

Provider Business Mailing Address
First Line	:	250 N SHADELAND AVE
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46219-4959
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5165 MCCARTY LN
Second Line	:
City	:	LAFAYETTE
State	:	IN
Zip	:	47905-8764
Country	:	US
Telephone Number	:	765-448-8000
Fax Number	:	765-448-7631

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/31/2010
Last Update Date	:	12/05/2025

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Directions to “ KEVIN MICHAEL DISCHERT M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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