Individual provider Active NPI

Tara H Debikey, M.D.

  • Obstetrics & Gynecology Physician
  • Indianapolis, IN
National Provider Identifier
1053372839
Registry record updated May 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
01061255A Issued in IN
Practice address
8360 S Emerson Ave
Suite 100
Indianapolis, IN 46237-8745
Phone
(317) 859-2535
Fax
(317) 859-2540
NPI assigned
Mar 31, 2006
Last updated
May 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 01061255A IN Primary

Addresses

Primary practice location

8360 S Emerson Ave
Suite 100
Indianapolis, IN 46237-8745

Mailing address

8360 S Emerson Ave
Suite 100
Indianapolis, IN 46237-8745
Phone (317) 859-2535

Other identifiers 1

IdentifierTypeStateIssuer
200802010MedicaidIN

Other names 1

  • Tara H. Marburger Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Tara.Debikey@ogi.gwaydirect.com Direct

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051122000608 IN Practitioner - Obstetrics/Gynecology 2264452051 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01061255AINMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seven Hills OB-GYN Associates, LLC Obstetrics & Gynecology CurrentSince Jan 1, 2021 Accepting new patients
Seven Hills OB-GYN Associates LLC Obstetrics & Gynecology CurrentSince Jan 1, 2021 Accepting new patients
Major Hospital Past Accepting new patients

Locations

11405 Pennsylvania St
Ste 260
Carmel, IN 46032
Phone (317) 334-5718

1703 W Stones Crossing Rd
Ste 320
Greenwood, IN 46143
Phone (317) 859-2535

8091 Township Line Rd
Ste 206
Indianapolis, IN 46260
Phone (317) 415-1000

8360 S Emerson Ave
Ste 100
Indianapolis, IN 46237
Phone (317) 859-2535

Interoperability endpoints

  • Direct secure messaging: tara.debikey@ogi.gwaydirect.com
  • Direct secure messaging: tdebikey10843@direct.franciscanalliance.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651622400000",
    "number": "1053372839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8360 S EMERSON AVE",
            "address_2": "SUITE 100",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462378745",
            "telephone_number": "317-859-2535",
            "fax_number": "317-859-2540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8360 S EMERSON AVE",
            "address_2": "SUITE 100",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462378745",
            "telephone_number": "317-859-2535",
            "fax_number": "317-859-2540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBIKEY",
        "first_name": "TARA",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-31",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "01061255A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200802010",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Tara.Debikey@ogi.gwaydirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "8360 S Emerson Ave",
            "address_2": "Suite 100",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462378745",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "MARBURGER",
            "middle_name": "H.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.