Active NPI
Humera Hamid, M.D.
- Psychiatry Physician
- Jeffersonville, IN
National Provider Identifier
1487709333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 01063275A
- Practice address
- 510 Spring Street
Jeffersonville, IN 47130-3554 - Phone
- (812) 282-1888
- Fax
- (812) 285-8393
- NPI assigned
- Jan 23, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Legal Medicine | 173000000X | 11011866A | IN | |
| Psychiatry Physician | 2084P0800X | 01063275A | IN | Primary |
Addresses
Primary practice location
510 Spring Street
Jeffersonville, IN 47130-3554
Mailing address
510 Spring St
Jeffersonville, IN 47130-3554
Phone (812) 282-1888
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000056294 | Other | ANTHEM GROUP | |
| 000000612952 | Other | ANTHEM PIN | |
| 160780 | Other | IN | MEDICARE GROUP |
| 50704000 | Other | MAGELLAN GROUP | |
| CK2274 | Other | KY | MEDICARE RR |
| 2444451000 | Other | KY | PASSPORT GROUP |
| CG3623 | Other | IN | MEDICARE RR |
| 65927857 | Other | KY | MEDICAID GROUP |
| 100386460 | Other | IN | MEDICAID GROUP |
| 1063415297 | Other | NPI GROUP |
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 |
|---|---|---|---|
| 11011866A | IN | MD | Legal Medicine |
| 01063275A | IN | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indiana University Psychiatric Associates, Inc. | Psychiatry | Past | Accepting new patients |
| Park View Psychiatric Services, PSC | Past | 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 and National Provider Directory roles.
-
- Psychiatry Physician
- Indianapolis, IN
- NPI 1023063724
Psychiatry
-
- Psychiatric/Mental Health Nurse Practitioner
- Jeffersonville, IN
- NPI 1487872636
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243382400000",
"number": "1487709333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 SPRING ST",
"city": "JEFFERSONVILLE",
"state": "IN",
"postal_code": "471303554",
"telephone_number": "812-282-1888",
"fax_number": "812-285-8393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 SPRING STREET",
"city": "JEFFERSONVILLE",
"state": "IN",
"postal_code": "471303554",
"telephone_number": "812-282-1888",
"fax_number": "812-285-8393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMID",
"first_name": "HUMERA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-23",
"last_updated": "2009-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "173000000X",
"taxonomy_group": "",
"desc": "Legal Medicine",
"state": "IN",
"license": "11011866A",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IN",
"license": "01063275A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM GROUP",
"identifier": "000000056294",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PIN",
"identifier": "000000612952",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "160780",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN GROUP",
"identifier": "50704000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "CK2274",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT GROUP",
"identifier": "2444451000",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "CG3623",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID GROUP",
"identifier": "65927857",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID GROUP",
"identifier": "100386460",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI GROUP",
"identifier": "1063415297",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jeffersonville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.