Active NPI
Naomi C. Lightburn, MD
- Internal Medicine Physician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 01069655A
- Practice address
- 550 N. University Blvd
Uh1501
Indianapolis, IN 46202-5149 - Phone
- (317) 948-1310
- Fax
- (317) 962-0503
- NPI assigned
- Jun 19, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 01069655A | IN | Primary |
Addresses
Primary practice location
550 N. University Blvd
Uh1501
Indianapolis, IN 46202-5149
Mailing address
250 N Shadeland Ave
Ste 130 Provider Enrollment
Indianapolis, IN 46219-4959
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| N/A | Medicaid | IN | |
| 201029150 | Medicaid | IN |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Indiana University School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5215 Holy Cross Pkwy
Mishawaka, IN 46545-1469
Phone (574) 335-2443
Hospital & facility affiliations
- Saint Joseph Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Galen Inpatient Physicians PC | Current | Accepting new patients | |
| University Family Physicians, Inc. | Internal Medicine | Current | Accepting new patients |
| Sound Physicians of Indiana, LLC | Internal Medicine | Current | Accepting new patients |
| Galen Inpatient Physicians, PC | Internal Medicine | Current | Accepting new patients |
| Sound Physicians of Indiana, LLC | Internal Medicine | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Indiana, LLC | Internal Medicine | Current | Accepting new patients |
| University Family Physicians, Inc. | Current | Accepting new patients | |
| Sound Physicians of Indiana, LLC | Internal Medicine | Current | Accepting new patients |
Locations
7216 Solutions Ctr
Chicago, IL 60677
601 W 2nd St
Bloomington, IN 47403
Phone (812) 353-5252
1520 N Senate Ave
Indianapolis, IN 46202
Phone (317) 962-0857
550 University Blvd
#1501
Indianapolis, IN 46202
Phone (317) 948-1310
250 N Shadeland Ave
Ste 130
Indianapolis, IN 46219
Phone (317) 962-4836
720 Eskenazi Ave
Fl 5
Indianapolis, IN 46202
Phone (317) 880-6000
5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443
1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523
5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674
Interoperability endpoints
- nlightburn1158761@direct.trinity-health.org
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Hospitalist Physician
- Terre Haute, IN
- NPI 1871178368
Internal Medicine
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1043275787
Internal Medicine
-
- Internal Medicine Physician
- Brentwood, TN
- NPI 1720416555
IN
-
- Hospitalist Physician
- Terre Haute, IN
- NPI 1184063257
Internal Medicine
-
- Hospitalist Physician
- Mishawaka, IN
- NPI 1356687164
Internal Medicine
-
- Durable Medical Equipment & Medical Supplies
- Indianapolis, IN
- NPI 1669828042
-
- Hospitalist Physician
- Los Angeles, CA
- NPI 1205787686
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mishawaka, IN
- NPI 1023965795
-
- General Acute Care Hospital
- Mishawaka, IN
- NPI 1841245594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392681600000",
"number": "1104087311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 N SHADELAND AVE",
"address_2": "STE 130 PROVIDER ENROLLMENT",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462194959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 N. UNIVERSITY BLVD",
"address_2": "UH1501",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462025149",
"telephone_number": "317-948-1310",
"fax_number": "317-962-0503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIGHTBURN",
"first_name": "NAOMI",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-19",
"last_updated": "2014-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01069655A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "N/A",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201029150",
"state": "IN"
}
],
"endpoints": [],
"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 Feb 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.