Active NPI
Hydeh Rahimian, MD
- Family Medicine Physician
- Evansville, IN
National Provider Identifier
1336180199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01050203
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000106958 | Other | IN | ANTHEM PROVIDER# |
| 100180890F | Medicaid | IN | |
| 200122140 | Medicaid | IN | |
| 080154921 | Other | IN | INDIVRAILROAD MEDICARE # |
| E99155 | Other | IN | UPIN# |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 01050203 | IN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Care Group at Safe Harbor, LLC | Past | 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.
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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.