Derek Lewis Tennenhouse, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

01056104C Issued in IN

Practice address

1200 W Carmel Dr
#103
Carmel, IN 46032-8707

Phone

(317) 796-3897

NPI assigned

Feb 10, 2009

Last updated

Feb 25, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Internal Medicine

Education

Indiana University School of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healogics Specialty Physicians of Indiana LLCGroup PAC ID 3678874567, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kindred Hospital Indianapolis North Long-term care hospital, Indianapolis, IN, CCN 152013
• Kindred Hospital Indianapolis Long-term care hospital, Indianapolis, IN, CCN 152007

Merit-based Incentive Payment System (MIPS)

Final score

54.54 of 100Reported as individual

Quality

21.67

Promoting interoperability

0

Improvement activities

40

Cost

76.82

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Healogics Specialty Physicians of Indiana, LLC

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Terre Haute, IN
  • NPI 1396145975

  Obstetrics & Gynecology

  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Kindred Hospitals Limited Partnership

  dba Kindred Hospital - Indianapolis

  • Long Term Care Hospital
  • Indianapolis, IN
  • NPI 1558446021

  Long-term care hospital

  Care Compare affiliation
• KND Development 67, LLC

  dba Kindred Hospital Indianapolis North

  • Long Term Care Hospital
  • Indianapolis, IN
  • NPI 1841650652

  Long-term care hospital

  Care Compare affiliation

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

{
    "created_epoch": "1234224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487980800000",
    "number": "1689813073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 W CARMEL DR",
            "address_2": "#103",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460328707",
            "telephone_number": "317-796-3897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W CARMEL DR",
            "address_2": "#103",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460328707",
            "telephone_number": "317-796-3897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENNENHOUSE",
        "first_name": "DEREK",
        "middle_name": "LEWIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-10",
        "last_updated": "2017-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "01056104C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200374530",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie Teague
• Michele Stepanek Teague, MSW
• Martha Teah, AS RBT
• Prashant Tembe
• Mary J Tempel, N.P.
• Joshua Terhune, LMHC
• Natalie Terhune, DPT
• Melissa Ternet, OTR
• Jourdyn Terrell, RBT
• Lillian Danielle Terrell, M.A., CF-SLP

• Obstetrics & Gynecology Physician in Carmel, IN
• Providers in Carmel, IN by specialty
• Obstetrics & Gynecology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2017; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.