Individual
KEVIN MICHAEL DISCHERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5165 MCCARTY LN, LAFAYETTE, IN 47905-8764
(765) 448-8000
(765) 448-7631
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
BP20040889
TX
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
60751362
WA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
99109477A
IN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD.206879
LA
207RP1001X
Pulmonary Disease Physician
MD.206879
LA
208600000X
Surgery Physician
BPI-0036592
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922323047
—
WA
01
—
8967531
MEDICARE PIN
WA
Enumeration date
03/31/2010
Last updated
12/05/2025
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