Individual provider Active NPI

Hydeh Rahimian, MD

  • Family Medicine Physician
  • Evansville, IN
National Provider Identifier
1336180199
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01050203 Issued in IN
Practice address
500 E Walnut St
Evansville, IN 47713-2438
Phone
(812) 465-5669
Fax
(812) 485-6767
NPI assigned
Jun 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01050203 IN Primary

Addresses

Primary practice location

500 E Walnut St
Evansville, IN 47713-2438

Mailing address

500 E Walnut St
Evansville, IN 47713-2438
Phone (812) 465-5669

Other identifiers 5

IdentifierTypeStateIssuer
000000106958OtherINANTHEM PROVIDER#
100180890FMedicaidIN
200122140MedicaidIN
080154921OtherININDIVRAILROAD MEDICARE #
E99155OtherINUPIN#

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01050203INMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Care Group at Safe Harbor, LLC PastSince Oct 1, 2018 Accepting new patients

Organizations & group practices 1

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": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1336180199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E WALNUT ST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477132438",
            "telephone_number": "812-465-5669",
            "fax_number": "812-485-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E WALNUT ST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477132438",
            "telephone_number": "812-465-5669",
            "fax_number": "812-485-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHIMIAN",
        "first_name": "HYDEH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-10",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01050203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER#",
            "identifier": "000000106958",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100180890F",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200122140",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVRAILROAD MEDICARE #",
            "identifier": "080154921",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN#",
            "identifier": "E99155",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.