Individual provider Active NPI

Michele Renee Babin, M.D.

  • Psychiatry Physician
  • Bradenton, FL
National Provider Identifier
1407960636
Registry record updated Apr 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
01050539A Issued in IN
Practice address
3809 E State Road 64
Bradenton, FL 34208-9041
Phone
(941) 748-1848
Fax
(941) 748-1881
NPI assigned
Aug 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 01050539A IN Primary

Addresses

Primary practice location

3809 E State Road 64
Bradenton, FL 34208-9041

Mailing address

1250 S Tamiami TRL
Suite 201
Sarasota, FL 34239-2221
Phone (941) 363-0878

Other identifiers 2

IdentifierTypeStateIssuer
200238380MedicaidIN
000000514647OtherINANTHEM PIN

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
I20050917000018 IN Practitioner - Psychiatry 3870526031 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Indiana University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Midwest Behavioral Health LLCGroup PAC ID 4587834874, 132 clinicians

Practice addresses (Care Compare)

10967 Allisonville Rd
Suite 240
Fishers, IN 46038-2634
Phone (812) 401-8008

7300 E Indiana St
Suite 103
Evansville, IN 47715-7448
Phone (812) 401-8008

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01050539AINMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Behavioral Health LLC Psychiatry CurrentSince Mar 1, 2019 Accepting new patients
St. Francis Hospital & Health Centers Past Accepting new patients
Jamie R. Smolen, MD LLC Past Accepting new patients
St. Francis Hospital and Health Centers Psychiatry Past Accepting new patients
Indiana University Psychiatric Associates, Inc. Psychiatry PastSince Dec 18, 2003 Accepting new patients

Locations

11900 Pennsylvania St
Ste 104
Carmel, IN 46032
Phone (317) 663-2423

7300 E Indiana St
Ste 103
Evansville, IN 47715
Phone (812) 401-8008

10967 Allisonville Rd
Ste 240
Fishers, IN 46038
Phone (317) 436-1222

Interoperability endpoints

  • Direct secure messaging: mbh.michelebabin@140099.advancedmd-direct.com

Organizations & group practices 5

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": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365984000000",
    "number": "1407960636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 S TAMIAMI TRL",
            "address_2": "SUITE 201",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392221",
            "telephone_number": "941-363-0878",
            "fax_number": "941-363-0527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3809 E STATE ROAD 64",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342089041",
            "telephone_number": "941-748-1848",
            "fax_number": "941-748-1881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABIN",
        "first_name": "MICHELE",
        "middle_name": "RENEE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2013-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "01050539A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200238380",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN",
            "identifier": "000000514647",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.