Individual provider Active NPI

Taki M Rida, M.D.

  • Family Medicine Physician
  • Indianapolis, IN
National Provider Identifier
1760834147
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01089356A Issued in IN
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

Updated by the provider on Apr 28, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, MT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 LLCGroup PAC ID 6608111026, 25 clinicians
In Charge Medical Professionals, LLCGroup PAC ID 9436474178, 10 clinicians
Impact Physician Group Montana LLCGroup PAC ID 8426489741, 7 clinicians

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 Hospital, Billings, MT, CCN 270049
  • Indiana University Health Hospital, Indianapolis, IN, CCN 150056
  • Ascension St Vincent Hospital Hospital, Indianapolis, IN, CCN 150084
  • Billings Clinic Hospital Hospital, Billings, MT, CCN 270004
  • Indiana University Health Arnett Hospital Hospital, Lafayette, IN, CCN 150173
  • Lafayette Regional Rehabilitation Hospital Inpatient rehabilitation facility, Lafayette, IN, CCN 153042
  • Indianapolis Rehabilitation Hospital, LLC Inpatient rehabilitation facility, Carmel, IN, CCN 153048
  • Rehabilitation Hospital of Montana Inpatient rehabilitation facility, Billings, MT, CCN 273025
  • Kindred Hospital Indianapolis Long-term care hospital, Indianapolis, IN, CCN 152007
  • Kindred Hospital Indianapolis North Long-term care hospital, Indianapolis, IN, CCN 152013

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Impact Physician Group Indiana Pulmonary Services LLC CurrentSince Jan 26, 2026 Accepting new patients
Impact Physician Group, Montana LLC CurrentSince Jul 1, 2023 Accepting new patients
Complexcare Medical Group Midwest H PLLC CurrentSince Sep 5, 2025 Accepting new patients
Impact Physician Group, Indiana LLC CurrentSince Jan 1, 2023 Accepting new patients
Theoria Medical CurrentSince Apr 28, 2025 Accepting new patients
In Charge Medical Professionals LLC CurrentSince Jan 1, 2023 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.

Hospital & facility affiliations 19

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 19

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

Verify at the official NPI Registry.