Donald R Hardman – Diagnostic Radiology Physician

Key facts

NPI: 1366478430
Entity type: Individual (NPI type 1)
Primary specialty: Diagnostic Radiology Physician 2085R0202X
License: 01050116 (IN)
Practice address: 1701 N Senate Blvd
Radiology Dept
Indianapolis, IN 46202-1239
Phone: (317) 962-6793
Fax: (317) 962-8281
NPI assigned: Jun 23, 2006
Sex: Male
Sole proprietor: No

Organizations & group practices 4

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.

Athens Medical Group, Inc Family Medicine Physician · Crawfordsville, IN · NPI 1831205210

NPD (past)
Indiana Radiology Partners, Inc Diagnostic Radiology Physician · Indianapolis, IN · NPI 1497712160

NPD (past) NEURORADIOLOGY
Indiana University Health, Inc Cardiovascular Disease Physician · Indianapolis, IN · NPI 1376586719

NPD (past)
Indiana University Radiology Associates, Inc. Diagnostic Radiology Physician · Indianapolis, IN · NPI 1336192665

NPD (past) NEURORADIOLOGY

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Medicine

State licenses

License	State	Type	Specialty
01050116	IN	MD	Vascular & Interventional Radiology Physician

Practice roles

Organization	Specialty	Status	New patients
Athens Medical Group, Inc		Past	Accepting new patients
Indiana University Radiology Associates, Inc.	Neuroradiology	Past	Accepting new patients
Indiana Radiology Partners, Inc	Neuroradiology	Past	Accepting new patients
Indiana University Health, Inc		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Neuroradiology Physician	2085N0700X	01050116	IN
Diagnostic Radiology Physician	2085R0202X	01050116	IN	Yes
Vascular & Interventional Radiology Physician	2085R0204X	01050116	IN

Addresses

Primary practice location

1701 N Senate Blvd
Radiology Dept
Indianapolis, IN 46202-1239

Mailing address

714 N Senate Ave
Ste 100
Indianapolis, IN 46202-3763
Phone (317) 715-6402

Other identifiers

Identifier	Type	State	Issuer
P00176846	Other	IN	RAILROAD MEDICARE
P00742646	Other	IN	RAILROAD MEDICARE
000000365363	Other	IN	ANTHEM BCBS
100385980	Medicaid	IN

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 25, 2010.

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267056000000",
    "number": "1366478430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 N SENATE AVE",
            "address_2": "STE 100",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462023763",
            "telephone_number": "317-715-6402",
            "fax_number": "317-715-6415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 N SENATE BLVD",
            "address_2": "RADIOLOGY DEPT",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462021239",
            "telephone_number": "317-962-6793",
            "fax_number": "317-962-8281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDMAN",
        "first_name": "DONALD",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2010-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "IN",
            "license": "01050116",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "01050116",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "IN",
            "license": "01050116",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00176846",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00742646",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000365363",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100385980",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

All providers in Indianapolis, IN · Diagnostic Radiology Physician in Indiana

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 25, 2010. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.