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

Mary Van Kooten, MD

Individual provider Adult Medicine Physician · NPI 1619972601

Mary Van Kooten, MD is a Family Practice in Bloomington, Indiana. Graduated from Indiana University School of Medicine in 2002, 24 years ago. Practices with Indiana University Health Southern Indiana Physicians LLC, a 484-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
24
Trained at
Indiana University School of Medicine
Licensed in
IN
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

550 S Landmark Ave
Bloomington, IN 47403-3239
Phone: (812) 355-6900
Fax: (812) 333-5978
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 01057928A (IN)
Adult Medicine Physician Taxonomy 207QA0505X · Licence 01057928A (IN)

Record details

NPI number1619972601
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 16, 2005
Last updated in NPPESSeptember 9, 2023
Certification dateSeptember 9, 2023
Mailing address250 N Shadeland Ave, Indianapolis, IN 46219-4959

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolINDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2002 (24 years in practice)
Group practice Indiana University Health Southern Indiana Physicians Llc — 484 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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