Individual provider Active NPI

Christopher I Obeime, MD

  • Dermatology Physician
  • Indianapolis, IN
National Provider Identifier
1659480697
Registry record updated Jul 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
01045359 Issued in IN
Practice address
3330 Founders Rd, Suite 100
Indianapolis, IN 46268-1333
Phone
(317) 334-0303
Fax
(317) 334-0063
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 010453590 IN
Dermatology Physician 207N00000X 01045359 IN Primary

Addresses

Primary practice location

3330 Founders Rd, Suite 100
Indianapolis, IN 46268-1333

Mailing address

PO Box 40081
Indianapolis, IN 46240-0081
Phone (317) 334-0303

Other identifiers 1

IdentifierTypeStateIssuer
200305540AMedicaidIN

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
I20111216000458 IN Practitioner - DermatologyPractitioner - Optometry 1850566035 Practice locations: Indianapolis, IN

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Optometry
Education
Indiana University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8330 Naab Rd
Indianapolis, IN 46260-1932
Phone (317) 334-0303

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision38
Removal of skin lesions261
Removal of nail tissue1-10
Skin biopsy312

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
010453590INMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656633600000",
    "number": "1659480697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40081",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462400081",
            "telephone_number": "317-334-0303",
            "fax_number": "317-334-0063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 FOUNDERS RD, SUITE 100",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462681333",
            "telephone_number": "317-334-0303",
            "fax_number": "317-334-0063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBEIME",
        "first_name": "CHRISTOPHER",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IN",
            "license": "010453590",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IN",
            "license": "01045359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200305540A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.