Active NPI
Taki M Rida, M.D.
- Family Medicine Physician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01089356A
- Practice address
- 1700 W 10TH St
Indianapolis, IN 46222-3802 - Phone
- (317) 636-4400
- NPI assigned
- Jul 8, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01089356A | IN | Primary |
Addresses
Primary practice location
1700 W 10TH St
Indianapolis, IN 46222-3802
Mailing address
1400 W Ice Lake Rd
Iron River, MI 49935-9526
Phone (905) 875-4486
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230502001690 | IN | Practitioner - Family Practice | 9931485059 | Reassigns benefits to 5 organizations |
| I20230920003944 | MT | Practitioner - Family Practice | 9931485059 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Impact Physician Group Indiana LLCIn Charge Medical Professionals, LLCImpact Physician Group Montana LLC
Practice addresses (Care Compare)
1585 Perry Worth Rd
Lebanon, IN 46052-9635
Phone (765) 482-6391
1700 W 10TH St
Kindred Hospital
Indianapolis, IN 46222-3802
Phone (317) 636-4400
3572 Hesper Rd
Billings, MT 59102-6891
Phone (406) 413-6200
4141 Shore Dr
Indianapolis, IN 46254-2607
Phone (317) 329-2000
Hospital & facility affiliations
- Intermountain Health St Vincent Regional Hospital
- Indiana University Health
- Ascension St Vincent Hospital
- Billings Clinic Hospital
- Indiana University Health Arnett Hospital
- Lafayette Regional Rehabilitation Hospital
- Indianapolis Rehabilitation Hospital, LLC
- Rehabilitation Hospital of Montana
- Kindred Hospital Indianapolis
- Kindred Hospital Indianapolis North
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Impact Physician Group Indiana Pulmonary Services LLC | Current | Accepting new patients | |
| Impact Physician Group, Montana LLC | Current | Accepting new patients | |
| Complexcare Medical Group Midwest H PLLC | Current | Accepting new patients | |
| Impact Physician Group, Indiana LLC | Current | Accepting new patients | |
| Theoria Medical | Current | Accepting new patients | |
| In Charge Medical Professionals LLC | Current | Accepting new patients |
Locations
21 Eastbrook Bnd
Ste 218
Peachtree Cty, GA 30269
Phone (260) 407-8007
155 E Burks Dr
Bloomington, IN 47401
Phone (812) 322-4437
3050 N Lintel Dr
Bloomington, IN 47404
Phone (812) 336-2815
501 S Murphy Ave
Brazil, IN 47834
Phone (812) 442-0403
1260 City Center Dr
Carmel, IN 46032
Phone (463) 333-9110
13219 N Meridian St
Carmel, IN 46032
Phone (765) 751-5253
745 N Swope St
Greenfield, IN 46140
Phone (317) 462-9221
4141 Shore Dr
Indianapolis, IN 46254
Phone (317) 329-2000
8060 Knue Rd
Indianapolis, IN 46250
Phone (317) 782-6669
1700 W 10th St
Indianapolis, IN 46222
Phone (317) 397-1718
4102 Shore Dr
Indianapolis, IN 46254
Phone (317) 347-9051
8400 Clearvista Pl
Indianapolis, IN 46256
Phone (317) 762-6348
2905 W Sycamore St
Kokomo, IN 46901
Phone (765) 452-5491
1585 Perry Worth Rd
Lebanon, IN 46052
Phone (756) 482-6391
251 Sturdy Rd
Valparaiso, IN 46383
Phone (219) 462-6158
41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763
3528 Gabel Rd
Billings, MT 59102
Phone (406) 373-8000
3572 Hesper Rd
Billings, MT 59102
Phone (406) 413-6200
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Peachtree City, GA
- NPI 1124426606
IN
-
- Pulmonary Disease Physician
- Peachtree City, GA
- NPI 1760036925
IN
Hospital & facility affiliations 19
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lafayette, IN
- NPI 1326296211
Hospital
-
- Rehabilitation Hospital
- Carmel, IN
- NPI 1104465715
Inpatient rehabilitation facility
-
- Long Term Care Hospital
- Indianapolis, IN
- NPI 1558446021
Long-term care hospital
-
- Long Term Care Hospital
- Indianapolis, IN
- NPI 1841650652
Long-term care hospital
-
- Rehabilitation Hospital
- Lafayette, IN
- NPI 1568713410
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1306898960
Hospital
-
- General Acute Care Hospital
- Avon, IN
- NPI 1851833230
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745798400000",
"number": "1760834147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 W ICE LAKE RD",
"city": "IRON RIVER",
"state": "MI",
"postal_code": "499359526",
"telephone_number": "905-875-4486",
"fax_number": "906-265-3098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 W 10TH ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462223802",
"telephone_number": "317-636-4400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIDA",
"first_name": "TAKI",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-07-08",
"last_updated": "2025-04-28",
"certification_date": "2025-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01089356A",
"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 Apr 28, 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.