Active NPI
Madison Anesthesia Group
- Anesthesiology Physician
- Anderson, IN
National Provider Identifier
1750302709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- MADISON ANESTHESIA GROUP
- Practice address
- 2015 Jackson St
Anderson, IN 46016-4337 - Phone
- (765) 649-2511
- NPI assigned
- Jul 22, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kashif Abdul-Rahman, MD
- Title
- MD
- Phone
- (765) 284-0493
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary | ||
| Pain Medicine Physician | 208VP0000X |
Addresses
Primary practice location
2015 Jackson St
Anderson, IN 46016-4337
Mailing address
PO Box 112
Muncie, IN 47308-0112
Phone (765) 284-0493
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100170520 | Medicaid | IN | |
| 100092460 | Medicaid | IN | |
| 100375750 | Medicaid | IN | |
| 100173130 | Medicaid | IN |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anesthesiology Physician
- Elkhart, IN
- NPI 1952371155
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153526400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1375315200000",
"number": "1750302709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 112",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473080112",
"telephone_number": "765-284-0493",
"fax_number": "765-284-2434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2015 JACKSON ST",
"city": "ANDERSON",
"state": "IN",
"postal_code": "460164337",
"telephone_number": "765-649-2511"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MADISON ANESTHESIA GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-22",
"last_updated": "2013-08-01",
"status": "A",
"authorized_official_last_name": "ABDUL-RAHMAN",
"authorized_official_first_name": "KASHIF",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "765-284-0493",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
},
{
"code": "208VP0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100170520",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100092460",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100375750",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100173130",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anderson, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.