Active NPI
Sabeena Rana Hubbard, D.O.
- Pediatrics Physician
- Lafayette, IN
National Provider Identifier
1124209903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 02003852A
- Practice address
- 2600 Ferry St
Lafayette, IN 47904-3055 - Phone
- (765) 448-8000
- Fax
- (765) 838-4698
- NPI assigned
- Nov 20, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | OS10682 | FL | |
| Hospitalist Physician | 208M00000X | 02003852A | IN | |
| Pediatrics Physician | 208000000X | 02003852A | IN | Primary |
Addresses
Primary practice location
2600 Ferry St
Lafayette, IN 47904-3055
Mailing address
250 N Shadeland Ave
Indianapolis, IN 46219-4959
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000714821 | Other | IN | ANTHEM PROVIDER NUMBER |
| 201022900 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ahubbar1@direct.iuhealth.org |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS10682 | FL | MD | Pediatrics Physician |
| 02003852A | IN | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arnett Clinic, LLC | Current | Accepting new patients | |
| Arnett Clinic, LLC | Current | Accepting new patients | |
| Iu Health Medical Group Riley Specialists, LLC | Pediatrics | Current | Accepting new patients |
| Arnett Clinic, LLC | Pediatrics | Current | Accepting new patients |
| Panhandle Emergency Physicians a Div of Sacred Heart Hosp Pensacola | Past | Accepting new patients |
Locations
8016 Reliable Pkwy
Chicago, IL 60686
705 Riley Hospital Dr
Indianapolis, IN 46202
Phone (317) 274-4779
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
2600 Greenbush St
Lafayette, IN 47904
2600 Ferry St
Lafayette, IN 47904
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 and National Provider Directory roles.
-
- Pediatrics Physician
- Indianapolis, IN
- NPI 1699561480
-
- Durable Medical Equipment & Medical Supplies
- Lafayette, IN
- NPI 1699839563
-
- Clinical Medical Laboratory
- Lafayette, IN
- NPI 1881655090
-
- Emergency Medicine Physician
- Pensacola, FL
- NPI 1215948096
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657584000000",
"number": "1124209903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 N SHADELAND AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462194959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 FERRY ST",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479043055",
"telephone_number": "765-448-8000",
"fax_number": "765-838-4698"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUBBARD",
"first_name": "SABEENA",
"middle_name": "RANA",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-20",
"last_updated": "2022-07-12",
"certification_date": "2022-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "OS10682",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "IN",
"license": "02003852A",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IN",
"license": "02003852A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PROVIDER NUMBER",
"identifier": "000000714821",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201022900",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ahubbar1@direct.iuhealth.org",
"affiliation": "N",
"address_1": "2600 Ferry St",
"city": "Lafayette",
"state": "IN",
"country_code": "US",
"postal_code": "479043055",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.