Individual provider Active NPI

Sarab Alfata, M.D.

  • Family Medicine Physician
  • Muncie, IN
National Provider Identifier
1578765665
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01068776A Issued in IN
Practice address
1107 S Tillotson Ave
Muncie, IN 47304-4517
Phone
(765) 717-5399
NPI assigned
Jun 1, 2007
Last updated
Feb 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X PT10924 ND
Student in an Organized Health Care Education/Training Program 390200000X 125052220 IL
Family Medicine Physician 207Q00000X 01068776A IN Primary

Addresses

Primary practice location

1107 S Tillotson Ave
Muncie, IN 47304-4517

Mailing address

3631 N Morrison Rd
Muncie, IN 47304-5547
Phone (765) 281-3443

Other practice location 1

3631 N Morrison Rd
Muncie, IN 47304-5547
Phone (765) 281-3443

Other practice location 2

1007 N 16th St
New Castle, IN 47362-4320
Phone (765) 717-5399

Other practice location 3

330 N Wabash Ave
Marion, IN 46952-2696
Phone (765) 717-5399

Other practice location 4

2451 Intelliplex Dr Ste 250
Shelbyville, IN 46176-8581
Phone (765) 717-5399

Other practice location 5

2705 S Berkley Rd Ste 4D
Kokomo, IN 46902-8007
Phone (765) 717-5399

Other practice location 6

813 N Lincoln St
Greensburg, IN 47240-1330
Phone (765) 717-5399

Other practice location 7

900 Sim Hodgin Pkwy
Richmond, IN 47374-1932
Phone (765) 717-5399

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
I20110110000547 IN Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 2264507813 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01068776AINMDFamily Medicine Physician
125052220ILMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Group of Indiana LLC D/B/a Rheumatology of Central Indiana CurrentSince May 3, 2024 Accepting new patients

Locations

813 N Lincoln St
Greensburg, IN 47240
Phone (812) 663-7515

2705 S Berkley Rd
Kokomo, IN 46902
Phone (765) 453-2200

2705 S Berkley Rd
Ste 4D
Kokomo, IN 46902
Phone (317) 453-5444

330 N Wabash Ave
Marion, IN 46952
Phone (765) 660-7660

330 N Wabash Ave
Ste 470
Marion, IN 46952
Phone (765) 455-8822

1107 S Tillotson Ave
Muncie, IN 47304

1107 S Tillotson Ave
Ste 1
Muncie, IN 47304
Phone (765) 213-3024

3620 W Bethel Ave
Muncie, IN 47304
Phone (317) 428-5027

1007 N 16th St
New Castle, IN 47362
Phone (765) 284-4220

900 Sim Hodgin Pkwy
Richmond, IN 47374
Phone (317) 395-3178

2451 Intelliplex Dr
Ste 250
Shelbyville, IN 46176
Phone (317) 398-5267

Interoperability endpoints

  • Direct secure messaging: salfata404697@ecommunitydirect.com

Organizations & group practices 1

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": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1578765665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3631 N MORRISON RD",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473045547",
            "telephone_number": "765-281-3443",
            "fax_number": "765-281-3439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 S TILLOTSON AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473044517",
            "telephone_number": "765-717-5399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3631 N Morrison Rd",
            "address_purpose": "LOCATION",
            "city": "Muncie",
            "state": "IN",
            "postal_code": "473045547",
            "country_code": "US",
            "telephone_number": "765-281-3443",
            "fax_number": "765-281-3439",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1007 N 16th St",
            "address_purpose": "LOCATION",
            "city": "New Castle",
            "state": "IN",
            "postal_code": "473624320",
            "country_code": "US",
            "telephone_number": "765-717-5399",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "330 N Wabash Ave",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "IN",
            "postal_code": "469522696",
            "country_code": "US",
            "telephone_number": "765-717-5399",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2451 Intelliplex Dr Ste 250",
            "address_purpose": "LOCATION",
            "city": "Shelbyville",
            "state": "IN",
            "postal_code": "461768581",
            "country_code": "US",
            "telephone_number": "765-717-5399",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2705 S Berkley Rd Ste 4D",
            "address_purpose": "LOCATION",
            "city": "Kokomo",
            "state": "IN",
            "postal_code": "469028007",
            "country_code": "US",
            "telephone_number": "765-717-5399",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "813 N Lincoln St",
            "address_purpose": "LOCATION",
            "city": "Greensburg",
            "state": "IN",
            "postal_code": "472401330",
            "country_code": "US",
            "telephone_number": "765-717-5399",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 Sim Hodgin Pkwy",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "IN",
            "postal_code": "473741932",
            "country_code": "US",
            "telephone_number": "765-717-5399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALFATA",
        "first_name": "SARAB",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-01",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ND",
            "license": "PT10924",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IL",
            "license": "125052220",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01068776A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muncie, IN

Sources for this page

Verify at the official NPI Registry.