Individual provider Active NPI

Novera Inam Inam, MD

  • Family Medicine Physician
  • Richmond, IN
National Provider Identifier
1215975354
Registry record updated May 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01061456A Issued in IN
Practice address
795 Sim Hodgin Pkwy
Reid Health Residency Clinic
Richmond, IN 47374-1928
Phone
(765) 966-5949
Fax
(765) 962-6268
NPI assigned
Jun 2, 2006
Last updated
May 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35.123422 OH
Family Medicine Physician 207Q00000X 01061456A IN Primary

Addresses

Primary practice location

795 Sim Hodgin Pkwy
Reid Health Residency Clinic
Richmond, IN 47374-1928

Mailing address

126 Parks Hall
Athens, OH 45701-1359
Phone (740) 593-4609

Other identifiers 3

IdentifierTypeStateIssuer
000001099709OtherINANTHEM
200821660MedicaidIN
259730174OtherINMEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ninam302419@ReidHealth.direct-ci.com Reid Physician Associates, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080528000457 IN Practitioner - Family Practice 1557431996 Reassigns benefits to 1 organization
I20161116002786 OH Practitioner - Family Practice 1557431996 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Reid Physician Associates IncGroup PAC ID 6406910769, 427 clinicians

Practice addresses (Care Compare)

795 Sim Hodgin Pkwy
Richmond, IN 47374-1928
Phone (765) 966-5949

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.123422OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Reid Physician Associates, Inc. CurrentSince Aug 28, 2017 Accepting new patients
Somc Medical Care Foundation, Inc. CurrentSince Feb 18, 2017 Accepting new patients
Reid Physician Associates, Inc CurrentSince Aug 28, 2017 Accepting new patients
Somc Medical Care Foundation, Inc. Family Medicine CurrentSince Feb 18, 2017 Accepting new patients
Samaritan Family Care Inc CurrentSince Sep 24, 2016 Accepting new patients
Samaritan Family Care Inc Family Medicine CurrentSince Sep 24, 2016 Accepting new patients
The Metrohealth System Current Accepting new patients

Locations

1100 Reid Pkwy
Richmond, IN 47374
Phone (765) 983-3000

795 Sim Hodgin Pkwy
Richmond, IN 47374
Phone (765) 966-5949

1530 Needmore Rd
Ste 200
Dayton, OH 45414
Phone (937) 278-5854

1248 Kinneys Ln
Portsmouth, OH 45662
Phone (740) 353-2131

1735 27th St
Ste 102
Portsmouth, OH 45662
Phone (740) 353-7881

1805 27th St
Portsmouth, OH 45662
Phone (740) 356-5000

Interoperability endpoints

  • Direct secure messaging: ninam302419@reidhealth.direct-ci.com
  • Direct secure messaging: ninam94733@direct.metrohealth.org

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620950400000",
    "number": "1215975354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 PARKS HALL",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457011359",
            "telephone_number": "740-593-4609",
            "fax_number": "740-593-4166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 SIM HODGIN PKWY",
            "address_2": "REID HEALTH RESIDENCY CLINIC",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741928",
            "telephone_number": "765-966-5949",
            "fax_number": "765-962-6268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INAM",
        "first_name": "NOVERA",
        "middle_name": "INAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-02",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.123422",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01061456A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000001099709",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200821660",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "259730174",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ninam302419@ReidHealth.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "Reid Physician Associates, Inc.",
            "address_1": "795 Sim Hodgin Pkwy",
            "address_2": "Reid Health Residency Clinic",
            "city": "Richmond",
            "state": "IN",
            "country_code": "US",
            "postal_code": "473741928",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Richmond, IN

Sources for this page

Verify at the official NPI Registry.