Individual provider Active NPI

Eric Philip Tannenbaum, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Columbus, IN
National Provider Identifier
1235404526
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
01079665A Issued in IN
Practice address
4665 N US Highway 31
Columbus, IN 47201-8558
Phone
(812) 376-9353
Fax
(812) 376-3757
NPI assigned
Mar 20, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 01079665A IN Primary

Addresses

Primary practice location

4665 N US Highway 31
Columbus, IN 47201-8558

Mailing address

4665 N US Highway 31
Columbus, IN 47201-8558
Phone (812) 376-9353

Other practice location 1

902 N Lincoln St
Greensburg, IN 47240-1245
Phone (812) 376-9353

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
I20180809005445 IN Practitioner - Orthopedic Surgery 9931338779 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Michigan Medical School, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Indiana Orthopedics IncGroup PAC ID 0941281836, 18 clinicians

Practice addresses (Care Compare)

4665 N US Hwy 31
Columbus, IN 47201-8558
Phone (812) 376-9353

930 E Barachel LN
Suite 500
Greensburg, IN 47240-3255
Phone (812) 663-7790

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
26.17 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
87.24

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement26
Knee replacement16
Upper limb (arm) arthroscopy (minimally invasive joint repair)27

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01079665AINMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Indiana Orthopedics Inc Sports Medicine CurrentSince Aug 15, 2018 Accepting new patients
Decatur County Memorial Hospital Current Accepting new patients
Major Hospital Past Accepting new patients

Locations

4665 N US Highway 31
Columbus, IN 47201
Phone (812) 376-9353

940 N Marr Rd
Ste C
Columbus, IN 47201
Phone (812) 343-2755

902 N Lincoln St
Greensburg, IN 47240
Phone (812) 376-9353

Interoperability endpoints

  • Direct secure messaging: eric.tannenbaum@direct.dcmh.net

Organizations & group practices 3

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 5

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": "1332201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1235404526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4665 N US HIGHWAY 31",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472018558",
            "telephone_number": "812-376-9353",
            "fax_number": "812-376-3757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4665 N US HIGHWAY 31",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472018558",
            "telephone_number": "812-376-9353",
            "fax_number": "812-376-3757"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "902 N Lincoln St",
            "address_purpose": "LOCATION",
            "city": "Greensburg",
            "state": "IN",
            "postal_code": "472401245",
            "country_code": "US",
            "telephone_number": "812-376-9353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TANNENBAUM",
        "first_name": "ERIC",
        "middle_name": "PHILIP",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-20",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "IN",
            "license": "01079665A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, IN

Sources for this page

Verify at the official NPI Registry.