Individual provider Active NPI

Tamara Kermani, DO

  • Family Medicine Physician
  • Plainfield, IN
National Provider Identifier
1174887608
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
02004687A Issued in IN
Practice address
315 N Dan Jones Rd Ste 150
Plainfield, IN 46168-2848
Phone
(317) 781-7328
Fax
(317) 781-7216
NPI assigned
Jun 29, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 02004687A IN Primary

Addresses

Primary practice location

315 N Dan Jones Rd Ste 150
Plainfield, IN 46168-2848

Mailing address

PO Box 781076
Detroit, MI 48278-1008
Phone (317) 528-4800

Other practice location 1

1111 Lighthouse Ln
Goshen, IN 46526-3824
Phone (574) 533-0348

Other identifiers 1

IdentifierTypeStateIssuer
201327120MedicaidIN

Electronic endpoints 5

TypeEndpointUseAffiliation
Direct Messaging Address tamara.kermani@goshenhealthdirect.com Health Information Exchange (HIE)
FHIR URL https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/
FHIR URL https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/
Direct Messaging Address tamara.kermani.p1@direct.goshenphysicians.nextgenshare.com Health Information Exchange (HIE)
Direct Messaging Address tkermani91804@Direct.Parkviewexchange.com

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
I20151102000194 IN Practitioner - Family Practice 8628388808 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Franciscan Physician NetworkGroup PAC ID 3072790682, 1,152 clinicians

Practice addresses (Care Compare)

315 N Dan Jones Rd
Suite 150
Plainfield, IN 46168-2848
Phone (317) 781-7328

Hospital & facility affiliations

  • Parkview Whitley Hospital Hospital, Columbia City, IN, CCN 150101
  • Parkview Regional Medical Center Hospital, Fort Wayne, IN, CCN 150021
  • Franciscan Health Mooresville Hospital, Mooresville, IN, CCN 150057

Merit-based Incentive Payment System (MIPS)

Final score
83.53 of 100Reported as group
Quality
70
Promoting interoperability
100
Improvement activities
40
Cost
75.11

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as group
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
02004687AINMDFamily Medicine Physician

Interoperability endpoints

  • Direct secure messaging: tkermani91804@direct.parkviewexchange.com

Organizations & group practices 1

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1340928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1174887608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781076",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482781008",
            "telephone_number": "317-528-4800",
            "fax_number": "317-865-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 N DAN JONES RD STE 150",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "461682848",
            "telephone_number": "317-781-7328",
            "fax_number": "317-781-7216"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 Lighthouse Ln",
            "address_purpose": "LOCATION",
            "city": "Goshen",
            "state": "IN",
            "postal_code": "465263824",
            "country_code": "US",
            "telephone_number": "574-533-0348",
            "fax_number": "574-533-0277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KERMANI",
        "first_name": "TAMARA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-29",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "02004687A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201327120",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tamara.kermani@goshenhealthdirect.com",
            "affiliation": "N",
            "endpointDescription": "Effective 5/15/23",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "201 S Main St",
            "city": "Milford",
            "state": "IN",
            "country_code": "US",
            "postal_code": "465423004",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "1111 Lighthouse Ln",
            "city": "Goshen",
            "state": "IN",
            "country_code": "US",
            "postal_code": "465263824",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1111 Lighthouse Ln",
            "city": "Goshen",
            "state": "IN",
            "country_code": "US",
            "postal_code": "465263824",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tamara.kermani.p1@direct.goshenphysicians.nextgenshare.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "201 S Main St",
            "city": "Milford",
            "state": "IN",
            "country_code": "US",
            "postal_code": "465423004",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tkermani91804@Direct.Parkviewexchange.com",
            "affiliation": "N",
            "address_1": "1111 Lighthouse Ln",
            "city": "Goshen",
            "state": "IN",
            "country_code": "US",
            "postal_code": "465263824",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plainfield, IN

Sources for this page

Verify at the official NPI Registry.