Active NPI
Buria Naeem, MBBS, MD
- Pediatric Critical Care Medicine Physician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- License
- 01082498A
- Practice address
- 705 Riley Hospital Dr RM 4900
Indianapolis, IN 46202-5109 - Phone
- (317) 944-7065
- Fax
- (317) 944-3442
- NPI assigned
- Jul 25, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | BP10056550 | TX | |
| Pediatric Critical Care Medicine Physician | 2080P0203X | 01082498A | IN | Primary |
Addresses
Primary practice location
705 Riley Hospital Dr RM 4900
Indianapolis, IN 46202-5109
Mailing address
705 Riley Hospital Dr RM 4900
Indianapolis, IN 46202-5109
Phone (317) 944-7065
Other practice location 1
301 University Blvd
Galveston, TX 77555-0319
Phone (409) 772-3695
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
848 Adams Ave
Memphis, TN 38103-2816
Phone (901) 287-5437
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP10056550 | TX | MD | Pediatrics Physician |
| 01082498A | IN | MD | Pediatric Critical Care Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ut Lebonheur Pediatric Specialists, Inc. | Pediatrics | Current | Accepting new patients |
Locations
705 Riley Hospital Dr
Rm 4900
Indianapolis, IN 46202
Phone (317) 944-7065
100 N Humphreys Blvd
Memphis, TN 38120
Phone (901) 747-1800
848 Adams Ave
Memphis, TN 38103
Phone (901) 287-5437
850 Poplar Ave
Bldg 2
Memphis, TN 38105
Phone (901) 287-5594
Interoperability endpoints
- bnaeem44915@mlh.direct-ci.com
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.
-
- Pediatrics Physician
- Memphis, TN
- NPI 1093024101
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571875200000",
"number": "1700339983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "705 RILEY HOSPITAL DR RM 4900",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462025109",
"telephone_number": "317-944-7065",
"fax_number": "317-944-3442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 RILEY HOSPITAL DR RM 4900",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462025109",
"telephone_number": "317-944-7065",
"fax_number": "317-944-3442"
}
],
"practiceLocations": [
{
"address_1": "301 University Blvd",
"address_purpose": "LOCATION",
"city": "Galveston",
"state": "TX",
"postal_code": "775550319",
"country_code": "US",
"telephone_number": "409-772-3695",
"fax_number": "409-772-3680",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NAEEM",
"first_name": "BURIA",
"credential": "MBBS, MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-25",
"last_updated": "2019-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "BP10056550",
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "IN",
"license": "01082498A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2019; 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.