Individual provider Active NPI

Tammy L. Christenberry, MD

  • Internal Medicine Physician
  • Indianapolis, IN
National Provider Identifier
1336121136
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01051073A Issued in IN
Practice address
6330 E 75TH St
Suite 110
Indianapolis, IN 46250-2717
Phone
(317) 588-7130
Fax
(317) 588-7150
NPI assigned
Nov 17, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01051073A IN Primary

Addresses

Primary practice location

6330 E 75TH St
Suite 110
Indianapolis, IN 46250-2717

Mailing address

6330 E 75TH St
Suite 110
Indianapolis, IN 46250-2717
Phone (317) 588-7130

Other identifiers 2

IdentifierTypeStateIssuer
1336121136OtherNPI
200338990MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tchristenberry@directaddress.net Direct

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
I20091228000212 IN Practitioner - Internal Medicine 0345380283 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01051073AINMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabilitation Associates of in PC Internal Medicine CurrentSince Jul 1, 2001 Accepting new patients
Major Hospital Past Accepting new patients

Locations

6330 E 75th St
Ste 110
Indianapolis, IN 46250
Phone (317) 588-7130

7950 N Shadeland Ave
Ste 100
Indianapolis, IN 46250
Phone (317) 588-7130

Interoperability endpoints

  • Direct secure messaging: tchristenberry30527@ecommunitydirect.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1336121136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6330 E 75TH ST",
            "address_2": "SUITE 110",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502717",
            "telephone_number": "317-588-7130",
            "fax_number": "317-588-7150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6330 E 75TH ST",
            "address_2": "SUITE 110",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502717",
            "telephone_number": "317-588-7130",
            "fax_number": "317-588-7150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTENBERRY",
        "first_name": "TAMMY",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-17",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01051073A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1336121136",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200338990",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tchristenberry@directaddress.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6330 E 75th St",
            "address_2": "Suite 110",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462502717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.