Active NPI
Zeba Madni, MD
- Psychiatry Physician
- Carmel, IN
National Provider Identifier
1548423858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 01070569A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.37716 | AL | MD | Psychiatry Physician |
| ME138245 | FL | MD | Psychiatry Physician |
| 036148585 | IL | MD | Psychiatry Physician |
| 04-41677 | KS | MD | Psychiatry Physician |
| 51964 | KY | MD | Psychiatry Physician |
| 58563 | TN | MD | Psychiatry Physician |
| R9807 | TX | MD | Psychiatry Physician |
| 0101265735 | VA | MD | Psychiatry Physician |
| 28745 | WV | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northshore Health Centers, Inc. | Current | Accepting new patients | |
| Northshore Health Centers Inc | Current | Accepting new patients | |
| Northshore Health Centers, Inc. | Psychiatry | Current | Accepting new patients |
Locations
6050 Sterling Creek Rd
Portage, IN 46368
Phone (219) 212-0188
Interoperability endpoints
- 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.
-
- Federally Qualified Health Center (FQHC)
- Merrillville, IN
- NPI 1114257300
-
- Federally Qualified Health Center (FQHC)
- East Chicago, IN
- NPI 1336992999
-
- Federally Qualified Health Center (FQHC)
- Lake Station, IN
- NPI 1861636664
Psychiatry
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.