Active NPI
Harold Hibbs, MD, MSC
- Internal Medicine Physician
- Zionsville, IN
National Provider Identifier
1346405909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 01074935A
- Practice address
- 1475 West Oak Street #138
Zionsville, IN 46077 - Phone
- (317) 800-3355
- NPI assigned
- Jul 23, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 63555-20 | WI | |
| Internal Medicine Physician | 207R00000X | 35.129991 | OH | |
| Hospitalist Physician | 208M00000X | 01074935A | IN | |
| Internal Medicine Physician | 207R00000X | 01074935A | IN | Primary |
Addresses
Primary practice location
1475 West Oak Street #138
Zionsville, IN 46077
Mailing address
6582 W Deerfield Dr
Zionsville, IN 46077-7500
Phone (317) 800-3355
Other practice location 1
395 Westfield Rd
Noblesville, IN 46060-1425
Phone (317) 800-3355
Other practice location 2
17600 Shamrock Blvd
Westfield, IN 46074
Phone (317) 800-3355
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.129991 | OH | MD | Internal Medicine Physician |
| 63555-20 | WI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Indiana - Auditor of State | Current | Accepting new patients | |
| State of Indiana, Auditor of State | Current | Accepting new patients | |
| State of Indiana, Auditor of State | Current | Accepting new patients |
Locations
498 NW 18th St
Richmond, IN 47374
Phone (765) 966-0511
Organizations & group practices 3
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.
-
- Psychiatric Hospital
- Richmond, IN
- NPI 1093933236
-
- Public Health or Welfare Agency
- Indianapolis, IN
- NPI 1023613403
-
- Psychiatric Hospital
- Madison, IN
- NPI 1700876224
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572566400000",
"number": "1346405909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6582 W DEERFIELD DR",
"city": "ZIONSVILLE",
"state": "IN",
"postal_code": "460777500",
"telephone_number": "317-800-3355",
"fax_number": "317-800-3355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1475 WEST OAK STREET #138",
"city": "ZIONSVILLE",
"state": "IN",
"postal_code": "46077",
"telephone_number": "317-800-3355"
}
],
"practiceLocations": [
{
"address_1": "395 Westfield Rd",
"address_purpose": "LOCATION",
"city": "Noblesville",
"state": "IN",
"postal_code": "460601425",
"country_code": "US",
"telephone_number": "317-800-3355",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "17600 Shamrock Blvd",
"address_purpose": "LOCATION",
"city": "Westfield",
"state": "IN",
"postal_code": "46074",
"country_code": "US",
"telephone_number": "317-800-3355",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HIBBS",
"first_name": "HAROLD",
"name_prefix": "Dr.",
"credential": "MD, MSC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-23",
"last_updated": "2019-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WI",
"license": "63555-20",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35.129991",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "IN",
"license": "01074935A",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01074935A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Zionsville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.