Active NPI
Hari Mahefa Ratsimbason, M.D.
- Pediatrics Physician
- Athens, TN
National Provider Identifier
1417190331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD67693
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q082456 | Medicaid | TN |
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
| License | State | Type | Specialty |
|---|---|---|---|
| MD67693 | TN | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Covenant Pediatrics, PLLC | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- hratsimbason636973@direct.kuha.org
- 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.