Active NPI
Rebecca G Haviza, PA-C
- Physician Assistant
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 10001454A
- Practice address
- 1801 N Senate Blvd MPC2#3300
Indianapolis, IN 46202-1228 - Phone
- (317) 923-1787
- Fax
- (317) 962-0262
- NPI assigned
- Apr 8, 2013
- 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 |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 10001454A | IN | |
| Physician Assistant | 363A00000X | 10001454A | IN | Primary |
Addresses
Primary practice location
1801 N Senate Blvd MPC2#3300
Indianapolis, IN 46202-1228
Mailing address
250 N Shadeland Ave
Indianapolis, IN 46219-4959
Other practice location 1
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300005443 | Medicaid | IN |
Other names 1
- Rebecca G Heniser
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rhaviza@direct.iuhealth.org | ||
| Direct Messaging Address | rhaviza@direct.iuhealth.org | Direct | |
| Direct Messaging Address | rhaviza@direct.iuhealth.org | Direct |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
11725 Illinois St
Carmel, IN 46032-3008
Phone (317) 688-4800
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258
1801 N Senate Blvd
Indianapolis, IN 46202-1228
Phone (317) 923-1787
545 Barnhill Dr
Eh215
Indianapolis, IN 46202-5112
Phone (317) 274-7949
Hospital & facility affiliations
- Indiana University Health
- Iu Health West Hospital
- Indiana University Health Ball Memorial Hospital
- Indiana University Health North Hospital
- Indiana University Health Bloomington Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10001454A | IN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Medical Diagnostic Associates, Inc. | Past | Accepting new patients |
Interoperability endpoints
- rhaviza@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.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Indianapolis, IN
- NPI 1770796096
-
- General Practice Physician
- Indianapolis, IN
- NPI 1326893777
-
- General Practice Physician
- Indianapolis, IN
- NPI 1902032832
-
- Internal Medicine Physician
- Indianapolis, IN
- NPI 1861441537
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Carmel, IN
- NPI 1568492916
-
- General Acute Care Hospital
- Avon, IN
- NPI 1063443455
-
- General Acute Care Hospital
- Muncie, IN
- NPI 1225195340
-
- General Acute Care Hospital
- Bloomington, IN
- NPI 1205860335
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1144266024
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747872000000",
"number": "1750724985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 N SHADELAND AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462194959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 N SENATE BLVD MPC2#3300",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462021228",
"telephone_number": "317-923-1787",
"fax_number": "317-962-0262"
}
],
"practiceLocations": [
{
"address_1": "1701 N Senate Blvd",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462021239",
"country_code": "US",
"telephone_number": "888-484-3258",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAVIZA",
"first_name": "REBECCA",
"middle_name": "G",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-08",
"last_updated": "2025-05-22",
"certification_date": "2025-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "IN",
"license": "10001454A",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IN",
"license": "10001454A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300005443",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rhaviza@direct.iuhealth.org",
"affiliation": "N",
"address_1": "1801 N Senate Blvd MPC2#3300",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462021228",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rhaviza@direct.iuhealth.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1801 N Senate Blvd MPC2#3300",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462021228",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rhaviza@direct.iuhealth.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1701 N Senate Blvd",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462021239",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "REBECCA",
"last_name": "HENISER",
"middle_name": "G",
"credential": "PA",
"code": "1",
"type": "Former Name"
}
]
}
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 May 22, 2025; 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.