Individual provider Active NPI

Megan Colburn, NP

  • Nurse Practitioner
  • Highland, IN
National Provider Identifier
1003956301
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
28144305A Issued in IN
Practice address
3449 Ridge Rd
Highland, IN 46322-2049
Phone
(219) 838-1100
NPI assigned
Feb 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 28144305A IN Primary

Addresses

Primary practice location

3449 Ridge Rd
Highland, IN 46322-2049

Mailing address

3449 Ridge Rd
Highland, IN 46322-2049
Phone (219) 838-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050510001082 IN Practitioner - Nurse Practitioner 5799725602 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ramesh P Kanuru M D IncGroup PAC ID 6204821630, 2 clinicians

Practice addresses (Care Compare)

3445 Ridge Rd
Highland, IN 46322-2049
Phone (219) 838-1100

3449 Ridge Rd
Highland, IN 46322-2049
Phone (219) 838-1100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
28144305AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ramesh P Kanuru M D Inc CurrentSince Mar 22, 2005 Accepting new patients
Durga R Kanuru MD PC Past Accepting new patients

Locations

3449 Ridge Rd
Highland, IN 46322
Phone (219) 836-8080

3445 Ridge Rd
Highland, IN 46322
Phone (219) 769-0711

3449 Ridge Rd
#P
Highland, IN 46322
Phone (219) 838-1100

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003956301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3449 RIDGE RD",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463222049",
            "telephone_number": "219-838-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3449 RIDGE RD",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463222049",
            "telephone_number": "219-838-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLBURN",
        "first_name": "MEGAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "28144305A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland, IN

Sources for this page

Verify at the official NPI Registry.