Individual provider Active NPI

Taniza N Karim, MD

  • Pediatrics Physician
  • Evansville, IN
National Provider Identifier
1821136854
Registry record updated Jun 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
01050192A Issued in IN
Practice address
3700 Bellemeade Av
Ste 117
Evansville, IN 47714-0106
Phone
(812) 485-7254
Fax
(812) 485-7225
NPI assigned
Feb 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 01050192A IN Primary

Addresses

Primary practice location

3700 Bellemeade Av
Ste 117
Evansville, IN 47714-0106

Mailing address

3700 Bellemeade Ave
Ste 117
Evansville, IN 47714-0106
Phone (812) 485-7254

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071024000699 IN Practitioner - Pediatric Medicine 5991754376 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Clinic Inc. Current Accepting new patients
Deaconess Clinic Inc Pediatrics CurrentSince Jan 15, 2015 Accepting new patients
Deaconess Clinic, Inc Pediatrics CurrentSince Jan 15, 2015 Accepting new patients

Locations

3150 Warrick Dr
Boonville, IN 47601
Phone (812) 450-6430

421 Chestnut St
Evansville, IN 47713
Phone (812) 426-6645

1204 Williams St
Oakland City, IN 47660
Phone (812) 749-6187

Interoperability endpoints

  • Direct secure messaging: tkarim25887@direct.deaconess.com

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338768000000",
    "number": "1821136854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 BELLEMEADE AVE",
            "address_2": "STE 117",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140106",
            "telephone_number": "812-485-7254",
            "fax_number": "812-485-7225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 BELLEMEADE AV",
            "address_2": "STE 117",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140106",
            "telephone_number": "812-485-7254",
            "fax_number": "812-485-7225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARIM",
        "first_name": "TANIZA",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2012-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01050192A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.