Radha S Tatineni, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

01041148A Issued in IN

Practice address

2015 Maxwell Ave
Evansville, IN 47711-4359

Phone

(812) 422-7974

Fax

(812) 422-8163

NPI assigned

Jun 7, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Deaconess Cross Pointe

  • Psychiatric Hospital
  • Evansville, IN
  • NPI 1053318972
  NPD (past)
• Deaconess Cross Pointe Center, LLC

  • Mental Health Counselor
  • Owensboro, KY
  • NPI 1558396689
  NPD (past)

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284681600000",
    "number": "1326088741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 MAXWELL AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477114359",
            "telephone_number": "812-422-7974",
            "fax_number": "812-422-8163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 MAXWELL AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477114359",
            "telephone_number": "812-422-7974",
            "fax_number": "812-422-8163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATINENI",
        "first_name": "RADHA",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2010-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "01041148A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN",
            "identifier": "000000378480",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200382560",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IL MEDICAID PIN",
            "identifier": "036070307",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica L Tameler, PA
• Robert Tank, PT, ATC, MA
• William P Tank, DPT
• Deborah L Tapp, NP
• Kelly Ann Tapp, MSW
• Satyam Tatineni, M.D.
• Eric Tatum Jr., AGACNP-BC
• Leah Nicole Tatum
• Naji H Tawfik, MD, PHD, FRCPC, FAAD
• Amy J Taylor, MHNP

• Psychiatry Physician in Evansville, IN
• Providers in Evansville, IN by specialty
• Psychiatry Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.