Individual provider Active NPI

Harish P Ardeshna, M.D.

  • Pulmonary Disease Physician
  • Bluffton, IN
National Provider Identifier
1386600229
Registry record updated Sep 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
01039030A Issued in IN
Practice address
303 S Main St
Bluffton, IN 46714-2503
Phone
(260) 919-3456
Fax
(260) 919-3558
NPI assigned
Apr 20, 2006
Last updated
Sep 15, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 01039030A IN Primary

Addresses

Primary practice location

303 S Main St
Bluffton, IN 46714-2503

Mailing address

303 S Main St
Bluffton, IN 46714-2503
Phone (260) 919-3456

Other identifiers 1

IdentifierTypeStateIssuer
100102260AMedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address harish.ardeshna@lutheranhealthnetwork.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100315000146 IN Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 8123922960 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1026 S Main St
Bluffton, IN 46714-3614
Phone (260) 919-3880

303 S Main St
Bluffton, IN 46714-2503
Phone (260) 824-3210

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.99 of 100Reported as apm
Quality
77.41
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bluffton Physician Services LLC CurrentSince Jan 1, 2015 Accepting new patients
Bluffton Physician Services LLC Pulmonary Disease CurrentSince Jan 1, 2015 Accepting new patients
Caylor Nickel Clinic, PC Past Accepting new patients

Locations

1026 S Main St
Bluffton, IN 46714
Phone (260) 919-3880

303 S Main St
Bluffton, IN 46714
Phone (260) 824-0800

311 S Scott St
Bluffton, IN 46714
Phone (260) 919-3291

7916 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 432-2298

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1386600229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 S MAIN ST",
            "city": "BLUFFTON",
            "state": "IN",
            "postal_code": "467142503",
            "telephone_number": "260-919-3456",
            "fax_number": "260-919-3551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 S MAIN ST",
            "city": "BLUFFTON",
            "state": "IN",
            "postal_code": "467142503",
            "telephone_number": "260-919-3456",
            "fax_number": "260-919-3558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARDESHNA",
        "first_name": "HARISH",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IN",
            "license": "01039030A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100102260A",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "harish.ardeshna@lutheranhealthnetwork.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "303 S Main St",
            "city": "Bluffton",
            "state": "IN",
            "country_code": "US",
            "postal_code": "467142503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bluffton, IN

Sources for this page

Verify at the official NPI Registry.