Individual provider Active NPI

Rahila I Qazi, MD

  • Psychiatry Physician
  • Indianapolis, IN
National Provider Identifier
1659361483
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
01049751A Issued in IN
Practice address
2506 Willowbrook Pkwy Ste 102
Indianapolis, IN 46205-1542
Phone
(317) 803-2270
Fax
(317) 217-1769
NPI assigned
Oct 24, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 01049751A IN Primary

Addresses

Primary practice location

2506 Willowbrook Pkwy Ste 102
Indianapolis, IN 46205-1542

Mailing address

240 N Tillotson Ave
Muncie, IN 47304-3988
Phone (765) 288-1928

Other identifiers 2

IdentifierTypeStateIssuer
000000524834OtherANTHEM BLUE CROSS BLUE SHIELD
200263520MedicaidIN

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
I20070808000550 IN Practitioner - Psychiatry 4183715972 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01049751AINMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Meridian Health Services Corp. CurrentSince Aug 10, 2012 Accepting new patients
Meridian Health Services Corp CurrentSince Aug 10, 2012 Accepting new patients
Valle Vista LLC CurrentSince Feb 1, 2022 Accepting new patients
Valle Vista, LLC CurrentSince Feb 1, 2022 Accepting new patients
Alpine Physicians, LLC Psychiatry PastSince Jan 1, 2018 Accepting new patients
Deaconess Memorial Medical Center Inc Past Accepting new patients
Major Hospital Past Accepting new patients
Southern Hills Counseling Center, Inc. Psychiatry Past Accepting new patients
Alpine Clinic, LLC Psychiatry PastSince Jan 1, 1998 Accepting new patients

Locations

898 E Main St
Greenwood, IN 46143
Phone (317) 887-1348

2506 Willowbrook Pkwy
Ste 102
Indianapolis, IN 46205
Phone (317) 650-4752

240 N Tillotson Ave
Muncie, IN 47304

Interoperability endpoints

  • Direct secure messaging: rahila.qazi.p1@direct.meridianhs.nextgenshare.com

Organizations & group practices 9

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": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1659361483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 N TILLOTSON AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473043988",
            "telephone_number": "765-288-1928",
            "fax_number": "765-741-0335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2506 WILLOWBROOK PKWY STE 102",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462051542",
            "telephone_number": "317-803-2270",
            "fax_number": "317-217-1769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QAZI",
        "first_name": "RAHILA",
        "middle_name": "I",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-24",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "01049751A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS BLUE SHIELD",
            "identifier": "000000524834",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200263520",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.