Individual provider Active NPI

Thomas Habimana, CRNA

  • Certified Registered Nurse Anesthetist
  • Indianapolis, IN
National Provider Identifier
1902894074
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
28122164A Issued in IN
Practice address
3630 Guion Rd
Indianapolis, IN 46222-1616
Phone
(317) 920-8439
Fax
(317) 614-9655
NPI assigned
Oct 12, 2005
Last updated
Jul 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 1097396 KY
Certified Registered Nurse Anesthetist 367500000X 28122164A IN Primary

Addresses

Primary practice location

3630 Guion Rd
Indianapolis, IN 46222-1616

Mailing address

11460 N Meridian St
Ste. 110
Carmel, IN 46032-4408
Phone (317) 567-2180

Other practice location 1

5165 McCarty Ln
Lafayette, IN 47905-8764
Phone (765) 448-8000

Other practice location 2

1000 E Main St
Danville, IN 46122-1948
Phone (317) 745-4451

Other identifiers 6

IdentifierTypeStateIssuer
2773493000OtherKYPASSPORT ADVANTAGE
430080249OtherRAILROAD MEDICARE
200428210MedicaidIN
50012416OtherKYPASSPORT
000000283641OtherKYANTHEM BLUE SHIELD
74005273MedicaidKY

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address thabimana@direct.iuhealth.org Direct
Direct Messaging Address thabimana447293@direct-PRD.stelizabeth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, OH, IN, OR4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20040803000445 KY Practitioner - Certified Registered Nurse Anesthetist (Crna) 9638140890 Reassigns benefits to 2 organizations
I20041230000047 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 9638140890 Reassigns benefits to 2 organizations
I20120106000007 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 9638140890 Reassigns benefits to 5 organizations
I20260409003291 OR Practitioner - Certified Registered Nurse Anesthetist (Crna) 9638140890 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hendricks County HospitalGroup PAC ID 4880505528, 341 clinicians
Northwest Anesthesia Physicians PCGroup PAC ID 3274420138, 93 clinicians
Apollo Medical Group of Jeffersonville LLCGroup PAC ID 8729487897, 25 clinicians

Practice addresses (Care Compare)

1000 E Main St
Danville, IN 46122-1948
Phone (317) 718-4740

3333 Riverbend Dr
Springfield, OR 97477-8800
Phone (541) 222-2300

400 Corporate Dr
Suite 100
Jeffersonville, IN 47130-1502
Phone (812) 925-1051

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
1097396KYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Arnett Clinic, LLC CurrentSince Jun 17, 2024 Accepting new patients
Universal Anesthesia Services LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2020 Accepting new patients
Hendricks County Hospital CurrentSince Jul 14, 2025 Accepting new patients
Anesthesia Group Practice, Inc Nurse Anesthetist, Certified Registered CurrentSince Aug 6, 2017 Accepting new patients
Hendricks County Hospital Current Accepting new patients
Hendricks County Hospital CurrentSince Jul 14, 2025 Accepting new patients
Southwest Ohio Anesthesia Consultants LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 5, 2023 Accepting new patients
Community Physicians of Indiana Inc CurrentSince May 20, 2019 Accepting new patients
Marion Area Physicians LLC CurrentSince Oct 15, 2024 Accepting new patients
Arnett Clinic, LLC CurrentSince Jun 17, 2024 Accepting new patients
Arnett Clinic, LLC Current Accepting new patients
Community Physicians of Indiana Inc CurrentSince May 20, 2019 Accepting new patients
Hendricks County Hospital Past Accepting new patients
Hendricks County Hospital Past Accepting new patients
Anesthesiology Associates PSC Nurse Anesthetist, Certified Registered Past Accepting new patients
Kentucky River HBP LLC Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Anesthesiology Consultants of Toledo, Inc Past Accepting new patients
Commonwealth Anesthesia, PSC Nurse Anesthetist, Certified Registered Past Accepting new patients
Jackson Hospital Corporation Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

3423 Solutions Ctr
Chicago, IL 60677

5819 Reliable Pkwy
Chicago, IL 60686

8016 Reliable Pkwy
Chicago, IL 60686

8244 E US Highway 36
Ste 1100
Avon, IN 46123
Phone (317) 272-7500

8244 E US Highway 36
Ste 1340
Avon, IN 46123
Phone (317) 520-5510

1000 E Main St
Danville, IN 46122
Phone (317) 745-3420

1500 N Ritter Ave
Indianapolis, IN 46219
Phone (317) 355-5041

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

3630 Guion Rd
Indianapolis, IN 46222
Phone (317) 920-7170

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

7150 Clearvista Dr
Indianapolis, IN 46256
Phone (317) 355-5041

2600 Greenbush St
Lafayette, IN 47904

5165 McCarty Ln
Lafayette, IN 47905
Phone (800) 899-8448

340 Thomas More Pkwy
Ste 220
Crestview Hills, KY 41017
Phone (859) 301-2211

1 Medical Village Dr
Edgewood, KY 41017
Phone (859) 301-2000

4900 Houston Rd
Florence, KY 41042
Phone (859) 212-5200

85 N Grand Ave
Fort Thomas, KY 41075
Phone (859) 572-3100

200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000

7500 State Rd
Cincinnati, OH 45255
Phone (513) 624-4034

Dept L3652
Columbus, OH 43260

1040 Delaware Ave
Marion, OH 43302
Phone (330) 256-9874

1050 Delaware Ave
Marion, OH 43302
Phone (740) 383-7038

Interoperability endpoints

  • FHIR API: https://sehproxy.stelizabeth.com/arr-fhir/api/FHIR/R4
  • Direct secure messaging: thabimana447293@direct-prd.stelizabeth.com

Organizations & group practices 23

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.

View all 23

Hospital & facility affiliations 3

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": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1902894074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11460 N MERIDIAN ST",
            "address_2": "STE. 110",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460324408",
            "telephone_number": "317-567-2180",
            "fax_number": "317-614-9655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3630 GUION RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462221616",
            "telephone_number": "317-920-8439",
            "fax_number": "317-614-9655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5165 McCarty Ln",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "IN",
            "postal_code": "479058764",
            "country_code": "US",
            "telephone_number": "765-448-8000",
            "fax_number": "765-838-4758",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 E Main St",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "IN",
            "postal_code": "461221948",
            "country_code": "US",
            "telephone_number": "317-745-4451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HABIMANA",
        "first_name": "THOMAS",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "1097396",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IN",
            "license": "28122164A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT ADVANTAGE",
            "identifier": "2773493000",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "430080249",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200428210",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "50012416",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE SHIELD",
            "identifier": "000000283641",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "74005273",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "thabimana@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5165 McCarty Ln",
            "city": "Lafayette",
            "state": "IN",
            "country_code": "US",
            "postal_code": "479058764",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "thabimana447293@direct-PRD.stelizabeth.com",
            "affiliation": "N",
            "address_1": "1000 E Main St",
            "city": "Danville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461221948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jul 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.