{"npi":"1366407769","type":"NPI-1","status":"active","name":{"display":"Michael Phelps M.D.","other":[],"first":"MICHAEL","last":"PHELPS","middle":"H","credential":"M.D."},"specialty":{"primary_taxonomy":"207R00000X","primary_taxonomy_description":"Internal Medicine","slug":"internal-medicine","schema_org_specialty":"Internal","all":[{"code":"207R00000X","description":"Internal Medicine","primary":true,"state":"IN","license":"01047317A"},{"code":"207R00000X","description":"Internal Medicine","primary":false,"state":"KY","license":"31429"}]},"addresses":[{"purpose":"LOCATION","street_1":"5300 STATE ROAD 64","city":"GEORGETOWN","state":"IN","postal_code":"471229178","country_code":"US","street_2":"SUITE 101","phone":"8129234200","fax":"8129495966"},{"purpose":"MAILING","street_1":"3844 RELIABLE PKWY","city":"CHICAGO","state":"IL","postal_code":"606860001","country_code":"US","phone":"8129495482","fax":"8129495966"}],"license":{"state":"IN","number":"01047317A"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"200139960","state":"IN","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20040518000187","type_code":"14-11","type_desc":"PRACTITIONER - INTERNAL MEDICINE","state":"IN","pac_id":"0547250839"}]},"enumeration_date":"2006-04-19","last_updated":"2008-06-04","_meta":{"source":"NPPES","snapshot_date":"2008-06-04","doc_url":"https://findmynpi.com/api"}}