Individual provider Active NPI

Diamond N Harris, M.D.

  • Pediatrics Physician
  • Madison, IN
National Provider Identifier
1689960429
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35C.002837 Issued in OH
Practice address
1373 E State Road 62
Level 2
Madison, IN 47250-7328
Phone
(812) 801-0300
Fax
(812) 801-0585
NPI assigned
Jun 20, 2011
Last updated
Oct 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 01074348A IN
Pediatrics Physician 208000000X MT199150 PA
Pediatrics Physician 208000000X 35C.002837 OH Primary
Pediatrics Physician 208000000X 15610 SD

Addresses

Primary practice location

1373 E State Road 62
Level 2
Madison, IN 47250-7328

Mailing address

PO Box 776879
Chicago, IL 60677-6879
Phone (812) 801-0300

Other identifiers 2

IdentifierTypeStateIssuer
7100339020MedicaidKY
201239430MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140807001177 IN Practitioner - Pediatric Medicine 8325265887 Reassigns benefits to 2 organizations
I20250722003510 OH Practitioner - Pediatric Medicine 8325265887 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01074348AINMDPediatrics Physician
35C.002837OHMDPediatrics Physician
MT199150PAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Health Network Current Accepting new patients
Norton - Kings Daughters Health Inc Pediatrics CurrentSince Aug 1, 2014 Accepting new patients
Norton Childrens Medical Group, LLC Pediatrics CurrentSince Jan 1, 2025 Accepting new patients
Norton - Kings Daughters Health Inc CurrentSince Aug 1, 2014 Accepting new patients
Sanford Health Network CurrentSince Sep 19, 2024 Accepting new patients
Tristate Pathology and Forensic Services LLC Current Accepting new patients
Norton Children's Medical Group, LLC CurrentSince Jan 1, 2025 Accepting new patients
University Hospitals Medical Group Inc Pediatrics CurrentSince Jul 9, 2025 Accepting new patients
Sanford Health Network CurrentSince Sep 19, 2024 Accepting new patients
Madison Pediatric Wellness Center Pediatrics Past Accepting new patients

Locations

2051 Clevidence Blvd
Ste B
Clarksville, IN 47129
Phone (502) 629-2030

1373 E State Road 62
#2
Madison, IN 47250
Phone (812) 801-0300

1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196

8055 Mayfield Rd
Ste 105
Chesterland, OH 44026
Phone (440) 214-8024

11100 Euclid Ave
Cleveland Heights, OH 44106

701 3rd Ave S
Clear Lake, SD 57226
Phone (605) 874-2141

20 S Plum St
Vermillion, SD 57069
Phone (605) 624-2611

Interoperability endpoints

  • Direct secure messaging: dharris244939@direct.nortonhealthcare.org
  • Direct secure messaging: dharris315476@direct.promedica.org

Organizations & group practices 10

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": "1308528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1689960429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776879",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776879",
            "telephone_number": "812-801-0300",
            "fax_number": "812-801-0585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1373 E STATE ROAD 62",
            "address_2": "LEVEL 2",
            "city": "MADISON",
            "state": "IN",
            "postal_code": "472507328",
            "telephone_number": "812-801-0300",
            "fax_number": "812-801-0585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "DIAMOND",
        "middle_name": "N",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-20",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01074348A",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MT199150",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35C.002837",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SD",
            "license": "15610",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100339020",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201239430",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, IN

Sources for this page

Verify at the official NPI Registry.