Individual provider Active NPI

Patrick E Rankin, MD

  • Family Medicine Physician
  • Fishers, IN
National Provider Identifier
1427064492
Registry record updated Aug 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01037400A Issued in IN
Practice address
13121 Olio Rd
Suite 300
Fishers, IN 46037-7240
Phone
(317) 621-1300
Fax
(317) 621-1310
NPI assigned
Jul 31, 2006
Last updated
Aug 20, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01037400A IN Primary

Addresses

Primary practice location

13121 Olio Rd
Suite 300
Fishers, IN 46037-7240

Mailing address

13121 Olio Rd
Suite 300
Fishers, IN 46037-7240
Phone (317) 621-1300

Other identifiers 2

IdentifierTypeStateIssuer
100097690MedicaidIN
000000358331OtherINANTHEM

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
01037400AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Cancer Center Specialists Colorado LLC PastSince Sep 1, 2018 Accepting new patients
Community Physicians of Indiana Inc PastSince Jul 1, 2012 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408492800000",
    "number": "1427064492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13121 OLIO RD",
            "address_2": "SUITE 300",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460377240",
            "telephone_number": "317-621-1300",
            "fax_number": "317-621-1310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13121 OLIO RD",
            "address_2": "SUITE 300",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460377240",
            "telephone_number": "317-621-1300",
            "fax_number": "317-621-1310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANKIN",
        "first_name": "PATRICK",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2014-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01037400A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100097690",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000358331",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2014; 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.