Active NPI
Serena Kortepeter Baskin, MD
- Family Medicine Physician
- Indianapolis, IN
National Provider Identifier
1083726293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01067146A
- Practice address
- 7240 Shadeland Sta
Indianapolis, IN 46256-3928 - Phone
- (317) 621-7455
- NPI assigned
- Sep 1, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01067146A | IN | Primary |
| Family Medicine Physician | 207Q00000X | 12862 | NH |
Addresses
Primary practice location
7240 Shadeland Sta
Indianapolis, IN 46256-3928
Mailing address
6626 E 75TH St Ste 500
Indianapolis, IN 46250-2890
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30205561 | Medicaid | NH | |
| 71029982 | Other | NH | CIGNA ID |
| AA47227 | Other | HARVARD PILGRIM ID | |
| 200966820 | Medicaid | IN | |
| 01Y008991NH03 | Other | NH | ANTHEM ID - GRANTHAM |
| 4147497 | Other | MVP ID | |
| 01YP08991NH01 | Other | NH | ANTHEM ID - NLHP |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sbaskin9648@eCommunityDirect.com | Community Hospitals of Indiana, INC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12862 | NH | MD | Family Medicine Physician |
Interoperability endpoints
- sbaskin9648@ecommunitydirect.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781049600000",
"number": "1083726293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6626 E 75TH ST STE 500",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462502890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7240 SHADELAND STA",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462563928",
"telephone_number": "317-621-7455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASKIN",
"first_name": "SERENA",
"middle_name": "KORTEPETER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-01",
"last_updated": "2026-06-10",
"certification_date": "2026-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01067146A",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NH",
"license": "12862",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30205561",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA ID",
"identifier": "71029982",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM ID",
"identifier": "AA47227",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200966820",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM ID - GRANTHAM",
"identifier": "01Y008991NH03",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP ID",
"identifier": "4147497",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM ID - NLHP",
"identifier": "01YP08991NH01",
"state": "NH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sbaskin9648@eCommunityDirect.com",
"affiliation": "Y",
"affiliationName": "Community Hospitals of Indiana, INC",
"address_1": "8177 Clearvista Pkwy",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462561662",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.