NPIMap

Individual provider Active NPI

Tabassum Hatimi, MD

  • Family Medicine Physician
  • Anderson, IN
National Provider Identifier
1881652022
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01044493A Issued in IN
Practice address
3125 S Scatterfield Rd
Suite 300
Anderson, IN 46013-1801
Phone
(765) 298-4630
Fax
(765) 298-4901
NPI assigned
May 3, 2006
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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 01044493A IN Primary

Addresses

Primary practice location

3125 S Scatterfield Rd
Suite 300
Anderson, IN 46013-1801

Mailing address

6626 E 75TH St
Suite 500
Indianapolis, IN 46250-2805

Other identifiers 2

IdentifierTypeStateIssuer
200088480MedicaidIN
000000586085OtherINANTHEM

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address thatimi10458@eCommunityDirect.com Community Physicians of Indiana Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081021000344 IN Practitioner - Family Practice 7810055852 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Physicians of Indiana IncGroup PAC ID 1759416662, 1,569 clinicians

Practice addresses (Care Compare)

3125 S Scatterfield Rd
Suite 300
Anderson, IN 46013-1803
Phone (765) 298-4630

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01044493AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Physicians of Indiana Inc Family Medicine CurrentSince Jun 15, 2011 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Jun 15, 2011 Accepting new patients
Major Hospital Past Accepting new patients
Community Hospitals of Indiana Inc Family Medicine Past Accepting new patients

Locations

5819 Reliable Pkwy
Chicago, IL 60686

1030 S Scatterfield Rd
Anderson, IN 46012
Phone (765) 644-5025

3113 Broadway St
Anderson, IN 46012
Phone (765) 298-4660

3125 S Scatterfield Rd
Ste 300
Anderson, IN 46013
Phone (765) 298-4311

11911 N Meridian St
Ste 150
Carmel, IN 46032
Phone (317) 621-6700

1664 W Smith Valley Rd
Greenwood, IN 46142
Phone (317) 887-7640

1703 N Post Rd
Indianapolis, IN 46219
Phone (317) 355-3200

6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547

7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444

8177 Clearvista Pkwy
Indianapolis, IN 46256
Phone (317) 621-7800

9669 E 146th St
Ste 100
Noblesville, IN 46060
Phone (317) 621-3434

701 S Main St
Summitville, IN 46070
Phone (765) 203-2671

Interoperability endpoints

  • Direct secure messaging: thatimi10458@ecommunitydirect.com

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
Northview Health and LivingAnderson, IN, CCN 155718 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Oct 1, 2018
Oct 1, 2018
Summit Health and LivingSummitville, IN, CCN 155839 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Oct 1, 2018
Oct 1, 2018

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 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1881652022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6626 E 75TH ST",
            "address_2": "SUITE 500",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 S SCATTERFIELD RD",
            "address_2": "SUITE 300",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460131801",
            "telephone_number": "765-298-4630",
            "fax_number": "765-298-4901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATIMI",
        "first_name": "TABASSUM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2023-11-27",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01044493A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200088480",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000586085",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "thatimi10458@eCommunityDirect.com",
            "affiliation": "Y",
            "affiliationName": "Community Physicians of Indiana Inc",
            "address_1": "3125 S Scatterfield Rd",
            "address_2": "Suite 300",
            "city": "Anderson",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460131801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Anderson, IN

Sources for this page

Verify at the official NPI Registry.