Individual provider Active NPI

Hari Mahefa Ratsimbason, M.D.

  • Pediatrics Physician
  • Athens, TN
National Provider Identifier
1417190331
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD67693 Issued in TN
Practice address
421 Old Riceville Rd Ste 2
Athens, TN 37303-3074
Phone
(423) 744-8755
Fax
(844) 485-8911
NPI assigned
Apr 7, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X MD67693 TN Primary

Addresses

Primary practice location

421 Old Riceville Rd Ste 2
Athens, TN 37303-3074

Mailing address

421 Old Riceville Rd Ste 2
Athens, TN 37303-3074
Phone (423) 744-8755

Other identifiers 1

IdentifierTypeStateIssuer
Q082456MedicaidTN

Medicare participation

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD67693TNMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Pediatrics, PLLC Pediatrics PastSince Aug 13, 2023 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: hratsimbason636973@direct.kuha.org
  • Direct secure messaging: hari.ratsimbason@covpeds.directbygreenway.com

Organizations & group practices 1

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": "1239062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1417190331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 OLD RICEVILLE RD STE 2",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "373033074",
            "telephone_number": "423-744-8755",
            "fax_number": "844-485-8911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 OLD RICEVILLE RD STE 2",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "373033074",
            "telephone_number": "423-744-8755",
            "fax_number": "844-485-8911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATSIMBASON",
        "first_name": "HARI MAHEFA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-07",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "MD67693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q082456",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.