Individual provider Active NPI

Caleb Huber

  • Pediatrics Physician
  • Avon, IN
National Provider Identifier
1275064206
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
01085538A Issued in IN
Practice address
7376 Business Center Dr Ste A1
Avon, IN 46123-8662
Phone
(317) 854-5809
Fax
(317) 647-4419
NPI assigned
Mar 22, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 01085538A IN Primary
Internal Medicine Physician 207R00000X 01085538A IN

Addresses

Primary practice location

7376 Business Center Dr Ste A1
Avon, IN 46123-8662

Mailing address

7376 Business Center Dr Ste A1
Avon, IN 46123-8662

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address raphahealth@atlasmd.io

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 1, 2023 through Apr 1, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01085538AINMDInternal Medicine Physician
R4437KYMDOccupational Therapist

Interoperability endpoints

  • Direct secure messaging: chuber12643@direct.eskenazihealth.edu

NPI Registry JSON

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

{
    "created_epoch": "1490140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1275064206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7376 BUSINESS CENTER DR STE A1",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461238662",
            "fax_number": "317-647-4419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7376 BUSINESS CENTER DR STE A1",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461238662",
            "telephone_number": "317-854-5809",
            "fax_number": "317-647-4419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBER",
        "first_name": "CALEB",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-22",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01085538A",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01085538A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "raphahealth@atlasmd.io",
            "affiliation": "N",
            "address_1": "7376 Business Center Dr Ste A1",
            "city": "Avon",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461238662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Avon, IN

Sources for this page

Verify at the official NPI Registry.