Active NPI
David Burton Hardin, MD
- General Practice Physician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 01039780A
- Practice address
- 8355 Rockville Rd Ste 120
Indianapolis, IN 46234-2722 - Phone
- (317) 429-0061
- Fax
- (317) 222-1953
- NPI assigned
- Jun 7, 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 01039780A | IN | Primary |
| Physical Medicine & Rehabilitation Physician | 208100000X | 44907 | TN | |
| Physical Medicine & Rehabilitation Physician | 208100000X | 01039780A | IN | |
| Internal Medicine Physician | 207R00000X | 01039780A | IN |
Addresses
Primary practice location
8355 Rockville Rd Ste 120
Indianapolis, IN 46234-2722
Mailing address
635 S Earl Ave
Ste B
Lafayette, IN 47904-3603
Phone (765) 838-8208
Other practice location 1
635 S Earl Ave
Ste B
Lafayette, IN 47904-3603
Phone (765) 838-8208
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100180760A | Medicaid | IN | |
| 6487340900 | Medicaid | KY |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3850 Shore Dr
Suite 315
Indianapolis, IN 46254-4693
Phone (317) 429-0061
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44907 | TN | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Informe Healthcare LLC | Internal Medicine | Current | Accepting new patients |
| Wellmont Physician Services Inc | Internal Medicine | Past | Accepting new patients |
| Lafayette'S Wound Center, LLC | Internal Medicine | Past | Accepting new patients |
Locations
745 N Swope St
Greenfield, IN 46140
Phone (317) 462-9221
17475 Dugdale Dr
South Bend, IN 46635
Phone (574) 247-7500
2741 W Layton Ave
Ste 106
Milwaukee, WI 53221
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.
-
- Surgery Physician
- Indianapolis, IN
- NPI 1316072242
-
- Physical Medicine & Rehabilitation Physician
- Lafayette, IN
- NPI 1740531409
Internal Medicine
-
- Internal Medicine Physician
- Big Stone Gap, VA
- NPI 1619095403
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542326400000",
"number": "1801836069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "635 S EARL AVE",
"address_2": "STE B",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479043603",
"telephone_number": "765-838-8208",
"fax_number": "765-838-8207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8355 ROCKVILLE RD STE 120",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462342722",
"telephone_number": "317-429-0061",
"fax_number": "317-222-1953"
}
],
"practiceLocations": [
{
"address_1": "635 S Earl Ave",
"address_2": "STE B",
"address_purpose": "LOCATION",
"city": "Lafayette",
"state": "IN",
"postal_code": "479043603",
"country_code": "US",
"telephone_number": "765-838-8208",
"fax_number": "765-838-8207",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARDIN",
"first_name": "DAVID",
"middle_name": "BURTON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-07",
"last_updated": "2018-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "IN",
"license": "01039780A",
"primary": true
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "TN",
"license": "44907",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "IN",
"license": "01039780A",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01039780A",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100180760A",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6487340900",
"state": "KY"
}
],
"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 Nov 16, 2018; 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.