Individual provider Active NPI

Harold Hibbs, MD, MSC

  • Internal Medicine Physician
  • Zionsville, IN
National Provider Identifier
1346405909
Registry record updated Nov 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01074935A Issued in IN
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

Updated by the provider on Nov 1, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.129991OHMDInternal Medicine Physician
63555-20WIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of Indiana - Auditor of State CurrentSince Jul 1, 2020 Accepting new patients
State of Indiana, Auditor of State Current Accepting new patients
State of Indiana, Auditor of State CurrentSince Jul 1, 2020 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.

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

Verify at the official NPI Registry.