Individual provider Active NPI

Tovah Ann Buikema, D.O.

  • Maternal & Fetal Medicine Physician
  • Urbana, IL
National Provider Identifier
1063714459
Registry record updated Jul 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
02005661A Issued in IN
Practice address
611 W. Park St.
Maternal-Fetal Medicine
Urbana, IL 61801-2500
Phone
(217) 383-4930
Fax
(217) 383-4014
NPI assigned
Nov 17, 2010
Last updated
Jul 10, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X 036142207 IL
Maternal & Fetal Medicine Physician 207VM0101X 1420 NE
Maternal & Fetal Medicine Physician 207VM0101X 02005661A IN Primary

Addresses

Primary practice location

611 W. Park St.
Maternal-Fetal Medicine
Urbana, IL 61801-2500

Mailing address

611 W. Park St.
BWPC
Urbana, IL 61801-2500
Phone (217) 383-6941

Other names 1

  • Miss Tovah Ann Thomasino Former name

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
I20190724000202 IN Practitioner - Obstetrics/GynecologyPractitioner - Pediatric Medicine 8921308149 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Midwestern University, Chicago College of Osteopathic Med, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

8081 Township Line Rd
Suite 200
Indianapolis, IN 46260-2188
Phone (317) 415-8070

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincent Pediatric Subspecialties Maternal & Fetal Medicine CurrentSince Jul 15, 2019 Accepting new patients
St Vincent Physician Services Hospital and Health Care Center CurrentSince Jul 15, 2019 Accepting new patients
St Vincent Physician Services Hospital and Health Care Center CurrentSince Jul 15, 2019 Accepting new patients
St Vincent Pediatric Subspecialties CurrentSince Jul 15, 2019 Accepting new patients
Major Hospital Past Accepting new patients

Locations

13420 N Meridian St
Ste 200
Carmel, IN 46032
Phone (317) 415-7626

13420 N Meridian St
Ste 300
Carmel, IN 46032
Phone (317) 582-7248

2001 W 86th St
Indianapolis, IN 46260
Phone (317) 338-3617

8081 Township Line Rd
Ste 200
Indianapolis, IN 46260
Phone (317) 415-8070

8081 Township Line Rd
Ste 203
Indianapolis, IN 46260
Phone (317) 415-7921

8091 Township Line Rd
Ste 108
Indianapolis, IN 46260
Phone (317) 415-7741

8111 Township Line Rd
Indianapolis, IN 46260
Phone (317) 415-7921

8240 Naab Rd
Ste 155
Indianapolis, IN 46260
Phone (317) 338-7760

8414 Naab Rd
Indianapolis, IN 46260
Phone (317) 338-1600

2705 N Lebanon St
Ste 405
Lebanon, IN 46052
Phone (765) 485-8444

615 N Michigan St
South Bend, IN 46601
Phone (574) 647-1000

Interoperability endpoints

  • Direct secure messaging: tovah.buikema.1@7598.direct.athenahealth.com
  • Direct secure messaging: tovah.buikema.2@7598.direct.athenahealth.com

Organizations & group practices 5

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": "1289952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562716800000",
    "number": "1063714459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 W. PARK ST.",
            "address_2": "BWPC",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618012500",
            "telephone_number": "217-383-6941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 W. PARK ST.",
            "address_2": "MATERNAL-FETAL MEDICINE",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618012500",
            "telephone_number": "217-383-4930",
            "fax_number": "217-383-4014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUIKEMA",
        "first_name": "TOVAH",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-17",
        "last_updated": "2019-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "IL",
            "license": "036142207",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "NE",
            "license": "1420",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "IN",
            "license": "02005661A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TOVAH",
            "last_name": "THOMASINO",
            "middle_name": "ANN",
            "prefix": "MISS",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Urbana, IL

Sources for this page

Verify at the official NPI Registry.