Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Mauro Amendola, MD

Individual provider Family Medicine Physician · NPI 1255794871

Dr. Mauro Amendola, MD is a Family Practice in Greenwood, Indiana. Qualified in 2016, 10 years ago. Practices with Community Physicians of Indiana Inc, a 1,577-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Indiana, Mississippi, Ohio and Tennessee.

Years since qualifying
10
Licensed in
IN, MS, OH, TN
In the registry since
2016
Specialties on file
5
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3000 S State Road 135 Ste 310
Greenwood, IN 46143-5527
Phone: (317) 497-2400
Fax: (317) 497-2515
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 7736 Airways Blvd, Southaven, MS 38671-5306 — (662) 772-3700
  • 6024 Hoover Rd, Grove City, OH 43123-8133 — (614) 875-8949
  • 8110 Cordova Rd Ste 111, Cordova, TN 38016-0522 — (901) 752-6963

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 01096178A (IN)
Family Medicine Physician Taxonomy 207Q00000X · Licence 35.138734 (OH)
Family Medicine Physician Taxonomy 207Q00000X · Licence 31446 (MS)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Family Medicine Physician Taxonomy 207Q00000X · Licence 66230 (TN)

Record details

NPI number1255794871
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 31, 2016
Last updated in NPPESSeptember 15, 2025
Certification dateSeptember 15, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Community Physicians Of Indiana Inc — 1577 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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