Individual provider Active NPI

Zeba Madni, MD

  • Psychiatry Physician
  • Carmel, IN
National Provider Identifier
1548423858
Registry record updated Jul 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
01070569A Issued in IN
Practice address
11900 Pennsylvania St Ste 104
Carmel, IN 46032-4694
Phone
(800) 997-6196
NPI assigned
Jul 7, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2023

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

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 51964 KY
Psychiatry Physician 2084P0800X 58563 TN
Psychiatry Physician 2084P0800X 04-41677 KS
Psychiatry Physician 2084P0800X MD.37716 AL
Psychiatry Physician 2084P0800X 036148585 IL
Psychiatry Physician 2084P0800X 28745 WV
Psychiatry Physician 2084P0800X ME138245 FL
Psychiatry Physician 2084P0800X 0101265735 VA
Psychiatry Physician 2084P0800X R9807 TX
Psychiatry Physician 2084P0800X 01070569A IN Primary

Addresses

Primary practice location

11900 Pennsylvania St Ste 104
Carmel, IN 46032-4694

Mailing address

11900 Pennsylvania St Ste 104
Carmel, IN 46032-4694
Phone (317) 740-2131

Other names 1

  • Zeba Madni Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20121012000762 IN Practitioner - Psychiatry 2466601133 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.37716ALMDPsychiatry Physician
ME138245FLMDPsychiatry Physician
036148585ILMDPsychiatry Physician
04-41677KSMDPsychiatry Physician
51964KYMDPsychiatry Physician
58563TNMDPsychiatry Physician
R9807TXMDPsychiatry Physician
0101265735VAMDPsychiatry Physician
28745WVMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northshore Health Centers, Inc. CurrentSince Jul 1, 2018 Accepting new patients
Northshore Health Centers Inc Current Accepting new patients
Northshore Health Centers, Inc. Psychiatry CurrentSince Jul 1, 2018 Accepting new patients

Locations

6050 Sterling Creek Rd
Portage, IN 46368
Phone (219) 212-0188

Interoperability endpoints

  • Direct secure messaging: zeba.madni.p1@direct.northshorehealth.nextgenshare.com

Organizations & group practices 3

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": "1215388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688860800000",
    "number": "1548423858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11900 PENNSYLVANIA ST STE 104",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460324694",
            "telephone_number": "317-740-2131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11900 PENNSYLVANIA ST STE 104",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460324694",
            "telephone_number": "800-997-6196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADNI",
        "first_name": "ZEBA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-07",
        "last_updated": "2023-07-09",
        "certification_date": "2023-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KY",
            "license": "51964",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "58563",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KS",
            "license": "04-41677",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AL",
            "license": "MD.37716",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036148585",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WV",
            "license": "28745",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME138245",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101265735",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "R9807",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "01070569A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ZEBA",
            "last_name": "MADNI",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.