Addison G Haynes, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

02004638A Issued in IN

Practice address

3118 S Lafountain St
Kokomo, IN 46902-3710

Phone

(765) 864-4160

Fax

(765) 400-4467

NPI assigned

Jul 23, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Family Practice

Education

Lake Erie College of Osteopathic Medicine, Erie, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Iu Health Medical Group LLCGroup PAC ID 9638617913, 4,382 clinicians

Indiana Health Centers IncGroup PAC ID 3971599473, 63 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Indiana University Health Tipton Hospital Inc Hospital, Tipton, IN, CCN 151311
• Indiana University Health Hospital, Indianapolis, IN, CCN 150056

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ahayness@direct.iuhealth.org

All facility ownership & control disclosures 8

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 9

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Indiana Health Centers Inc

  • Federally Qualified Health Center (FQHC)
  • Bedford, IN
  • NPI 1093427999

  Corporate Officer, W-2 Managing Employee

  CMS ownership
• Indiana Health Centers, Inc

  • Federally Qualified Health Center (FQHC)
  • Seymour, IN
  • NPI 1124434469

  Corporate Officer, W-2 Managing Employee

  CMS ownership
• Indiana Health Centers, Inc

  • Federally Qualified Health Center (FQHC)
  • Marion, IN
  • NPI 1215343389

  Corporate Officer, W-2 Managing Employee

  CMS ownership
• Indiana Health Centers, Inc

  • Federally Qualified Health Center (FQHC)
  • South Bend, IN
  • NPI 1780065672

  Corporate Officer, W-2 Managing Employee

  CMS ownership
• Indiana Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • South Bend, IN
  • NPI 1174626014

  Corporate Officer, W-2 Managing Employee

  CMS ownership
• Indiana Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • South Bend, IN
  • NPI 1306957311

  Corporate Officer, W-2 Managing Employee

  CMS ownership
• Indiana Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Indianapolis, IN
  • NPI 1598776742

  Corporate Officer, W-2 Managing Employee

  CMS ownership
• Indiana Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Marion, IN
  • NPI 1619087624

  Corporate Officer, W-2 Managing Employee

  CMS ownership
• Indiana Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Logansport, IN
  • NPI 1669582664

  Corporate Officer, W-2 Managing Employee

  CMS ownership

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.

• Indiana Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Indianapolis, IN
  • NPI 1598776742

  Family Medicine, IN

  Medicare reassignment Care Compare group NPD
• Iu Health Medical Group, LLC

  • General Practice Physician
  • Indianapolis, IN
  • NPI 1326893777

  IN

  Medicare reassignment Care Compare group NPD
• Indiana University Health Care Associates, Inc

  • General Practice Physician
  • Indianapolis, IN
  • NPI 1902032832

  IN

  Medicare reassignment NPD
• Indiana University Health Urgent Care Centers, LLC.

  • Urgent Care Clinic/Center
  • Greenwood, IN
  • NPI 1750763819

  IN

  Medicare reassignment NPD
• Indiana Health Centers Inc

  • Federally Qualified Health Center (FQHC)
  • Indianapolis, IN
  • NPI 1942303086
  Care Compare group NPD
• Indiana Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Marion, IN
  • NPI 1619087624

  Family Medicine

  Care Compare group NPD (past)
• Indiana Health Centers Inc

  • Federally Qualified Health Center (FQHC)
  • Bedford, IN
  • NPI 1093427999
  Care Compare group
• Indiana Health Centers, Inc

  • Federally Qualified Health Center (FQHC)
  • Seymour, IN
  • NPI 1124434469
  Care Compare group
• Indiana Health Centers, Inc

  • Federally Qualified Health Center (FQHC)
  • Marion, IN
  • NPI 1215343389
  Care Compare group
• Indiana Health Centers, Inc

  • Federally Qualified Health Center (FQHC)
  • Peru, IN
  • NPI 1336373190
  Care Compare group
• Indiana Health Centers, Inc

  • Federally Qualified Health Center (FQHC)
  • Brownstown, IN
  • NPI 1437873841
  Care Compare group
• Indiana Health Centers, Inc

  • Federally Qualified Health Center (FQHC)
  • Spencer, IN
  • NPI 1609315829
  Care Compare group

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

• Indiana University Health Inc

  • General Acute Care Hospital
  • Indianapolis, IN
  • NPI 1144266024

  Hospital

  Care Compare affiliation
• Indiana University Health Tipton Hospital Inc

  • Critical Access Hospital
  • Tipton, IN
  • NPI 1699876094

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1343001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771286400000",
    "number": "1295080620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8003 CASTLEWAY DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462501946",
            "telephone_number": "317-576-1335",
            "fax_number": "317-343-6562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3118 S LAFOUNTAIN ST",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469023710",
            "telephone_number": "765-864-4160",
            "fax_number": "765-400-4467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "ADDISON",
        "middle_name": "G",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-23",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "02004638A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201314620",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Haley Layne Hatfield, MOT, OTR, MA, BCBA
• Jordan Dena Hatfield
• Stacie Ann Hawkins, MS, LMHC
• Skyla Marie Hayden
• Fadi Hayek, MD
• Lynette Hazelbaker, M.D.
• Hcoms, PC
• Health 1St of Kokomo, PC
• Healthtronix Lymphedema Management, Inc.
• Hear Again LLC

• All providers in Kokomo, IN
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.