Active NPIIndividual provider

Ananias Motta Burgos

Obstetrics & Gynecology in Michigan City, Indiana

NPI Number1225663552
Practice location
3500 Franciscan Way Ste 300, Michigan City, IN 46360-0033
Fax
219-861-8789
Last updated
September 1, 2026

Ananias Motta Burgos is an Obstetrics & Gynecology based in Michigan City, IN. Ananias Motta Burgos practices in Michigan City, IN. The NPI Number for Ananias Motta Burgos is 1225663552 and holds a License No. 01100356A (IN). The current practice location address for Ananias Motta Burgos is 3500 Franciscan Way Ste 300, Michigan City, IN 46360-0033 and can be reached out via phone at 219-861-8785 and via fax at 219-861-8789.

Provider Profile Details

NPI Number
1225663552
Provider Name
Ananias Motta Burgos
Provider Entity Type
Individual
Gender
Male
Address
3500 Franciscan Way Ste 300, Michigan City, IN 46360-0033
Phone Number
219-861-8785
Fax Number
219-861-8789
Primary Taxonomy
Obstetrics & Gynecology · 207V00000X
Sole Proprietor
No
Provider Enumeration Date
March 6, 2020
Last Update Date
September 1, 2026
Certification Date
September 1, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
3500 Franciscan Way Ste 300
Michigan City, IN 46360-0033
State
Indiana
Zip
46360-0033
Phone Number
219-861-8785
Fax Number
219-861-8789
Michigan City, IN 46360Get directions →

Provider Business Mailing Address Details

Address
Po Box 781076
Detroit, MI 48278-1076
City
Detroit
State
MI
Zip
48278-1076
Phone Number
317-528-4800
Fax Number
317-865-1479

License Information

License Number (2)
01100356A
License State (2)
IN
Taxonomy (2)
Obstetrics & Gynecology · 207V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Obstetrics & Gynecology providers near Michigan City, IN

View all Obstetrics & Gynecology providers in Michigan City →
No other indexed providers in Michigan City yet.

Frequently Asked Questions

What is the NPI number of Ananias Motta Burgos?

The NPI number of Ananias Motta Burgos is 1225663552. It was assigned on March 6, 2020 and is currently active in the NPPES registry.

What is the specialty of Ananias Motta Burgos?

Ananias Motta Burgos is registered under the primary taxonomy Obstetrics & Gynecology (code 207V00000X), licensed in IN under license number 01100356A.

Where does Ananias Motta Burgos practice?

The practice location is 3500 Franciscan Way Ste 300, Michigan City, IN 46360-0033. The office can be reached at 219-861-8785 (phone) or 219-861-8789 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1225663552 directly on the NPPES registry website.

Browse related providers