Individual provider Active NPI

Trina Helderman, MD

  • Emergency Medicine Physician
  • Lafayette, IN
National Provider Identifier
1699783084
Registry record updated Mar 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
01062591A Issued in IN
Practice address
1501 Hartford St
Lafayette, IN 47904-2134
Phone
(765) 423-6011
Fax
(260) 407-8004
NPI assigned
Aug 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Emergency Response Attendant 146D00000X
Emergency Medicine Physician 207P00000X 01062591A IN Primary

Addresses

Primary practice location

1501 Hartford St
Lafayette, IN 47904-2134

Mailing address

3019 W Cullom Ave # 2
Chicago, IL 60618-1309
Phone (317) 407-5105

Other identifiers 2

IdentifierTypeStateIssuer
000000489652OtherINANTHEM
200832830MedicaidIN

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
I20070409000557 IN Practitioner - Emergency Medicine 3072617638 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Monticello Emergency Care, LLCGroup PAC ID 4183664956, 6 clinicians

Practice addresses (Care Compare)

4011 S Monroe Medical Park Blvd
Bloomington, IN 47403-8000
Phone (812) 825-1111

Hospital & facility affiliations

  • Monroe Hospital Hospital, Bloomington, IN, CCN 150183

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. 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

Practice roles

OrganizationSpecialtyStatusNew patients
Monticello Emergency Care, LLC Emergency Medicine CurrentSince Jun 12, 2022 Accepting new patients

Locations

7231 Solutions Ctr
Chicago, IL 60677

4011 S Monroe Medical Park Blvd
Bloomington, IN 47403
Phone (812) 825-5777

616 E 13th St
Winamac, IN 46996
Phone (574) 946-2100

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267488000000",
    "number": "1699783084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3019 W CULLOM AVE # 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606181309",
            "telephone_number": "317-407-5105",
            "fax_number": "260-407-8004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 HARTFORD ST",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479042134",
            "telephone_number": "765-423-6011",
            "fax_number": "260-407-8004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELDERMAN",
        "first_name": "TRINA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2010-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146D00000X",
            "taxonomy_group": "",
            "desc": "Personal Emergency Response Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01062591A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000489652",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200832830",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, IN

Sources for this page

Verify at the official NPI Registry.