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

Mini Sra

Individual provider Internal Medicine Physician · NPI 1003122003

Mini Sra is a Hospitalist in Mishawaka, Indiana. Qualified in 2006, 20 years ago. Practices with Apogee Medical Group Indiana PC, a 72-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
20
Licensed in
IN
In the registry since
2010
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Practice location Address checks out

5215 Holy Cross Pkwy
Mishawaka, IN 46545-1469
Phone: (574) 335-2521
Fax: (574) 335-2262
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 01072359A (IN)

Record details

NPI number1003122003
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 27, 2010
Last updated in NPPESNovember 3, 2016
Mailing address5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469

Medicare enrollment

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

Medicare specialtyHOSPITALIST
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Apogee Medical Group Indiana Pc — 72 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Mishawaka