Individual provider Active NPI

Rehab Talat, MD

  • Otolaryngology Physician
  • Avon, IN
National Provider Identifier
1508362435
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
01100721A Issued in IN
Practice address
1115 N Ronald Reagan Pkwy Ste 254
Avon, IN 46123-6911
Phone
(317) 944-6467
NPI assigned
Mar 31, 2018
Last updated
Sep 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Otolaryngology Physician 207Y00000X 01100721A IN Primary
Otolaryngology Physician 207Y00000X 35.148635 OH
Pediatric Sleep Medicine Physician 2080S0012X 01100721A IN

Addresses

Primary practice location

1115 N Ronald Reagan Pkwy Ste 254
Avon, IN 46123-6911

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other practice location 1

5700 Monroe St Unit 310
Sylvania, OH 43560-2768
Phone (419) 578-7555

Other identifiers 1

IdentifierTypeStateIssuer
300135281MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rtalat@direct.iuhealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20250912003829 MI Order and Referring Only - Sleep MedicinePractitioner - OtolaryngologyPractitioner - Sleep Medicine 8325397698

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Sleep Medicine
Education
University of Cincinnati College of Medicine, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

250 N Shadeland Ave
Indianapolis, IN 46219-4959

4487 Slate CT Apt O
Beavercreek, OH 45430-1679

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.148635OHMDOtolaryngology Physician

Interoperability endpoints

  • Direct secure messaging: rtalat1084122@direct.hfhs.org
  • Direct secure messaging: rtalat272449@direct.promedica.org

NPI Registry JSON

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

{
    "created_epoch": "1522454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1508362435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 N RONALD REAGAN PKWY STE 254",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461236911",
            "telephone_number": "317-944-6467"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5700 Monroe St Unit 310",
            "address_purpose": "LOCATION",
            "city": "Sylvania",
            "state": "OH",
            "postal_code": "435602768",
            "country_code": "US",
            "telephone_number": "419-578-7555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TALAT",
        "first_name": "REHAB",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-31",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IN",
            "license": "01100721A",
            "primary": true
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "OH",
            "license": "35.148635",
            "primary": false
        },
        {
            "code": "2080S0012X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Sleep Medicine",
            "state": "IN",
            "license": "01100721A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300135281",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rtalat@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1115 N Ronald Reagan Pkwy Ste 254",
            "city": "Avon",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461236911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Avon, IN

Sources for this page

Verify at the official NPI Registry.