Active NPI
Tamala Ndenguma, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 28221320A
- Practice address
- 2010 N Capitol Ave
Indianapolis, IN 46202-1222 - Phone
- (214) 436-2893
- NPI assigned
- Oct 23, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 28221320A | IN | Primary |
Addresses
Primary practice location
2010 N Capitol Ave
Indianapolis, IN 46202-1222
Mailing address
7272 Wurzbach Rd Ste 601
San Antonio, TX 78240-4803
Phone (214) 436-2893
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
150 W Market St
Suite 400
Indianapolis, IN 46204-2810
Phone (855) 743-2247
8398 Mississippi St
FL 2
Merrillville, IN 46410-6316
Phone (855) 743-2247
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28221320A | IN | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Med Management Indiana PC | Current | Accepting new patients | |
| Extended Care Specialists, Inc | Current | Accepting new patients | |
| Eventus Ecs - Kentucky, PLLC | Current | Accepting new patients | |
| Eventus Ecs, Inc | Current | Accepting new patients | |
| Eventus Wholehealth Midwest Inc | Current | Accepting new patients | |
| Eventus WH Midwest Care, LLC | Current | Accepting new patients | |
| Major Hospital | Past | Accepting new patients | |
| Onhealthcare LLC | Past | Accepting new patients |
Locations
2100 Midway St
Columbus, IN 47201
Phone 3178181240225
3701 Washington Ave
Evansville, IN 47714
Phone (812) 476-3360
3512 Stellhorn Rd
Fort Wayne, IN 46815
3815 River Crossing Pkwy
Ste 100
Indianapolis, IN 46240
Phone (317) 218-3479
150 W Market St
Ste 400
Indianapolis, IN 46204
8398 Mississippi St
Fl 2
Merrillville, IN 46410
7272 Wurzbach Rd
Ste 601
San Antonio, TX 78240
Phone (210) 615-3472
Organizations & group practices 8
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.
-
- Nurse Practitioner
- Indianapolis, IN
- NPI 1073353496
-
- Adult Medicine Physician
- Merrillville, IN
- NPI 1134146079
-
- Family Medicine Physician
- Columbus, IN
- NPI 1386252757
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
-
- Podiatrist
- Indianapolis, IN
- NPI 1952677353
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738454400000",
"number": "1891567905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7272 WURZBACH RD STE 601",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782404803",
"telephone_number": "214-436-2893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2010 N CAPITOL AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462021222",
"telephone_number": "214-436-2893"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NDENGUMA",
"first_name": "TAMALA",
"credential": "PMHNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-10-23",
"last_updated": "2025-02-02",
"certification_date": "2025-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "IN",
"license": "28221320A",
"primary": true
}
],
"identifiers": [],
"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 Feb 2, 2025; 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.