Active NPI
Rommel S Dhadha, MD
- Diagnostic Radiology Physician
- Indianapolis, IN
National Provider Identifier
1700825148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 01059903
- Practice address
- 1701 N Senate Blvd
Room 1204a
Indianapolis, IN 46202-1239 - Phone
- (317) 962-6793
- Fax
- (317) 962-8281
- NPI assigned
- Jun 4, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 01059903 | IN | Primary |
| Diagnostic Ultrasound Physician | 2085U0001X | 01059903 | IN |
Addresses
Primary practice location
1701 N Senate Blvd
Room 1204a
Indianapolis, IN 46202-1239
Mailing address
714 N Senate Ave
Ste Ef100
Indianapolis, IN 46202-3763
Phone (317) 715-6402
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200400090 | Medicaid | IN | |
| P00195787 | Other | IN | RAILROAD MEDICARE |
| 000000556638 | Other | IN | ANTHEM BCBS |
| P00742702 | Other | IN | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indiana University Radiology Associates, Inc. | Diagnostic Radiology | Past | Accepting new patients |
| Indiana University Health, Inc | Past | Accepting new patients | |
| Indiana University Health North Hospital, Inc | Past | Accepting new patients | |
| Indiana Radiology Partners, Inc | Diagnostic Radiology | Past | Accepting new patients |
Interoperability endpoints
- rdhadha@direct.iuhealth.org
Organizations & group practices 4
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267142400000",
"number": "1700825148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "714 N SENATE AVE",
"address_2": "STE EF100",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462023763",
"telephone_number": "317-715-6402",
"fax_number": "317-715-6415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 N SENATE BLVD",
"address_2": "ROOM 1204A",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462021239",
"telephone_number": "317-962-6793",
"fax_number": "317-962-8281"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DHADHA",
"first_name": "ROMMEL",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-04",
"last_updated": "2010-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IN",
"license": "01059903",
"primary": true
},
{
"code": "2085U0001X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "IN",
"license": "01059903",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200400090",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00195787",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000000556638",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00742702",
"state": "IN"
}
],
"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 Feb 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.