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

Michael E Porvaznik, MD

Individual provider Family Medicine Physician · NPI 1689679482

Michael E Porvaznik, MD is a Family Practice in Bloomington, Indiana. Graduated from Pennsylvania State University College of Medicine in 1979, 47 years ago. Practices with Monroe Medical Group Inc, a 26-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
47
Trained at
Pennsylvania State University College of Medicine
Licensed in
IN
In the registry since
2005
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

3211 W Reddy Way
Bloomington, IN 47403-4066
Phone: (812) 825-0777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 01060166A (IN)

Record details

NPI number1689679482
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 17, 2005
Last updated in NPPESMarch 27, 2025
Certification dateMarch 27, 2025
Mailing address3211 W Reddy Way, Bloomington, IN 47403-4066

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolPENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 1979 (47 years in practice)
Group practice Monroe Medical Group Inc — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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