Individual provider Active NPI

Dhiren M Haria, M.D.

  • Nephrology Physician
  • Owensboro, KY
National Provider Identifier
1861434565
Registry record updated Jun 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
41915 Issued in KY
Practice address
1930 E Parrish Ave
Owensboro, KY 42303-1443
Phone
(270) 689-1919
Fax
(270) 689-1990
NPI assigned
Jun 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 41915 KY Primary
Nephrology Physician 207RN0300X 01065192A IN
Internal Medicine Physician 207R00000X 41915 KY

Addresses

Primary practice location

1930 E Parrish Ave
Owensboro, KY 42303-1443

Mailing address

1930 E Parrish Ave
Owensboro, KY 42303-1443
Phone (270) 689-1919

Other identifiers 4

IdentifierTypeStateIssuer
500020955OtherKYPASSPORT
000000572299OtherANTHEM PIN
200909960MedicaidIN
7100050520MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY, TN3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20080714000550 IN Practitioner - NephrologyPractitioner - Internal Medicine 9830147230 Reassigns benefits to 1 organization
I20080728000309 KY Practitioner - NephrologyPractitioner - Internal Medicine 9830147230 Reassigns benefits to 1 organization
I20190204002420 TN Practitioner - Nephrology 9830147230

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohio Valley Nephrology Associates PSCGroup PAC ID 7416981675, 5 clinicians

Practice addresses (Care Compare)

1602 Main St
Tell City, IN 47586-1310
Phone (812) 719-4237

1930 E Parrish Ave
Owensboro, KY 42303-1443
Phone (270) 689-1919

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01065192AINMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Valley Nephrology Associates PSC Nephrology CurrentSince Jul 1, 2008 Accepting new patients

Locations

1602 Main St
Tell City, IN 47586
Phone (812) 547-1140

401 W Whitmer St
Central City, KY 42330
Phone (270) 754-2380

1020 Waterfall Ct
Madisonville, KY 42431
Phone (270) 825-3792

1930 E Parrish Ave
Owensboro, KY 42303
Phone (270) 689-1919

Interoperability endpoints

  • Direct secure messaging: dharia9481@direct.owensborohealth.org

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Owensboro Health Transitional CareOwensboro, KY, CCN 185396 Skilled nursing facility Corporate Director Nov 26, 2024
Owensboro Health Home Care ServicesOwensboro, KY, CCN 187112 Home health agency Corporate Officer Nov 26, 2024

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 1

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 9

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

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435017600000",
    "number": "1861434565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 E PARRISH AVE",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423031443",
            "telephone_number": "270-689-1919",
            "fax_number": "270-689-1990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 E PARRISH AVE",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423031443",
            "telephone_number": "270-689-1919",
            "fax_number": "270-689-1990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARIA",
        "first_name": "DHIREN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2015-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "KY",
            "license": "41915",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IN",
            "license": "01065192A",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "41915",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "500020955",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN",
            "identifier": "000000572299",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200909960",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100050520",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

Verify at the official NPI Registry.