Derrick L. Hasenour, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01071061A Issued in IN

Practice address

55 N Milford Dr
Franklin, IN 46131-7308

Phone

(317) 739-4848

Fax

(317) 346-4062

NPI assigned

Jun 30, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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 University Health Care Associates, Inc

  • General Practice Physician
  • Indianapolis, IN
  • NPI 1902032832
  Medicare reassignment NPD
• Windrose Health Network Inc

  • Federally Qualified Health Center (FQHC)
  • Trafalgar, IN
  • NPI 1568404226
  Medicare reassignment NPD
• Windrose Health Network Inc

  • Federally Qualified Health Center (FQHC)
  • Avon, IN
  • NPI 1447822150
  NPD
• Windrose Health Network, Inc.

  • Federally Qualified Health Center (FQHC)
  • Indianapolis, IN
  • NPI 1881061059
  NPD
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571011200000",
    "number": "1295997450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 TRAFALGAR SQ",
            "city": "TRAFALGAR",
            "state": "IN",
            "postal_code": "461819515",
            "telephone_number": "317-412-9190",
            "fax_number": "317-878-2302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 N MILFORD DR",
            "city": "FRANKLIN",
            "state": "IN",
            "postal_code": "461317308",
            "telephone_number": "317-739-4848",
            "fax_number": "317-346-4062"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1520 N Senate Ave",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "46202",
            "country_code": "US",
            "telephone_number": "317-962-8893",
            "fax_number": "317-962-1048",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HASENOUR",
        "first_name": "DERRICK",
        "middle_name": "L.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-30",
        "last_updated": "2019-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "11015132A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01071061A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201067650",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda L Harris, DMD
• Bria S Harris, MA, LMHC
• Elmer Curtis Harris, DC
• Robert Thomas Harris, AT STUDENT
• Mirza Qasim Hasan, M.D. MPH
• Hunter Moskow Hatfield
• Rebecca Hawkins, FNP-C
• Diana Mae Haymond, CNM
• Rachel Elena Hayslip, OTR/L
• Jeremy Jack Headlee, RN

• Family Medicine Physician in Franklin, IN
• Providers in Franklin, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.