Individual provider Active NPI

Madiha Tahir

  • Internal Medicine Physician
  • Indianapolis, IN
National Provider Identifier
1902211956
Registry record updated Jul 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
11018099A Issued in IN
Practice address
1120 W Michigan St
CL 626
Indianapolis, IN 46202-5209
Phone
(317) 278-2689
NPI assigned
Jun 29, 2014
Last updated
Jul 2, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301104803 MI
Internal Medicine Physician 207R00000X 11018099A IN Primary

Addresses

Primary practice location

1120 W Michigan St
CL 626
Indianapolis, IN 46202-5209

Mailing address

1120 W Michigan St
CL 626
Indianapolis, IN 46202-5209
Phone (317) 278-2689

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20241231003335 GA Practitioner - Infectious Disease 8527375419 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2665 N Decatur Rd
Suite 330
Decatur, GA 30033-6145
Phone (404) 297-9755

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301104803MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Infectious Disease Consultants, LLC CurrentSince Nov 13, 2024 Accepting new patients
Metro Infectious Disease Consultants LLC CurrentSince Nov 13, 2024 Accepting new patients
Metro Infectious Disease Consultants, LLC Past Accepting new patients

Locations

11800 Northfall Ln
Ste 1406
Alpharetta, GA 30009
Phone (678) 413-1360

2665 N Decatur Rd
Ste 330
Decatur, GA 30033
Phone (404) 297-9755

901 McClintock Dr
Ste 202
Burr Ridge, IL 60527
Phone (630) 654-4201

Interoperability endpoints

  • Direct secure messaging: mtahir407196@direct.uvmhealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1404000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435795200000",
    "number": "1902211956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 W MICHIGAN ST",
            "address_2": "CL 626",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462025209",
            "telephone_number": "317-278-2689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 W MICHIGAN ST",
            "address_2": "CL 626",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462025209",
            "telephone_number": "317-278-2689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAHIR",
        "first_name": "MADIHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-29",
        "last_updated": "2015-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301104803",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "11018099A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.