Active NPI
Rana Fawzi Hawamdeh, M.D.
- Medical Oncology Physician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- 01084644A
- Practice address
- 1440 E County Line Rd
Indianapolis, IN 46227-0963 - Phone
- (317) 497-6270
- Fax
- (317) 497-2529
- NPI assigned
- Jun 29, 2010
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | TRN14918 | FL | |
| Hematology (Internal Medicine) Physician | 207RH0000X | 01084644A | IN | |
| Hematology & Oncology Physician | 207RH0003X | 2015029477 | MO | |
| Hematology & Oncology Physician | 207RH0003X | 01084644A | IN | |
| Medical Oncology Physician | 207RX0202X | 01084644A | IN | Primary |
Addresses
Primary practice location
1440 E County Line Rd
Indianapolis, IN 46227-0963
Mailing address
6626 E 75TH St Ste 500
Indianapolis, IN 46250-2890
Phone (317) 621-1647
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992016588 | Medicaid | MO |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rana.hawamdehmd.p36@direct.ahni.nextgenshare.com | Direct |
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201215001770 | IN | Practitioner - Medical Oncology | 1850529041 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Medical Oncology
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Community Physicians of Indiana IncCommunity Physician Network Specialty Care LLC
Practice addresses (Care Compare)
1440 E County Line Rd
Indianapolis, IN 46227-0963
Phone (317) 497-6270
8075 N Shadeland Ave
Indianapolis, IN 46250-2693
Phone (317) 621-8000
Hospital & facility affiliations
- Community Hospital of Anderson and Madison County
- Community Hospital East
- Community Hospital South, Inc.
- Indiana University Health Bloomington Hospital
- Community Hospital North
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01084644A | IN | MD | Hematology & Oncology Physician |
| 2015029477 | MO | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Physicians of Indiana Inc | Current | Accepting new patients | |
| Community Physician Network Specialty Care LLC | Hematology & Oncology | Current | Accepting new patients |
| Community Physicians of Indiana Inc | Internal Medicine | Current | Accepting new patients |
| Johnson Memorial Hospital | Current | Accepting new patients | |
| Johnson Memorial Hospital | Current | Accepting new patients | |
| Johnson Memorial Hospital | Current | Accepting new patients | |
| Major Hospital | Past | Accepting new patients |
Locations
5819 Reliable Pkwy
Chicago, IL 60686
5918 Reliable Pkwy
Chicago, IL 60686
1629 Medical Arts Blvd
#120
Anderson, IN 46011
Phone (765) 298-2400
1125 W Jefferson St
Franklin, IN 46131
Phone (317) 346-3858
8075 N Shadeland Ave
Indianapolis, IN 46250
Phone (317) 621-8000
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
1440 E County Line Rd
Indianapolis, IN 46227
Phone (317) 497-2833
1440 E County Line Rd
Ste 1200
Indianapolis, IN 46227
Phone (317) 497-6270
Organizations & group practices 7
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.
-
- Cardiovascular Disease Physician
- Indianapolis, IN
- NPI 1588535496
Hematology & Oncology, IN
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1619105244
IN, Internal Medicine
-
- Endocrinology, Diabetes & Metabolism Physician
- Carmel, IN
- NPI 1992396337
-
- Skilled Nursing Facility
- Franklin, IN
- NPI 1053301259
-
- Occupational Medicine Clinic/Center
- Franklin, IN
- NPI 1679577357
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Anderson, IN
- NPI 1972500452
Hospital
-
- General Acute Care Hospital
- Bloomington, IN
- NPI 1205860335
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693958400000",
"number": "1992016588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6626 E 75TH ST STE 500",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462502890",
"telephone_number": "317-621-1647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1440 E COUNTY LINE RD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462270963",
"telephone_number": "317-497-6270",
"fax_number": "317-497-2529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAWAMDEH",
"first_name": "RANA",
"middle_name": "FAWZI",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-29",
"last_updated": "2023-09-06",
"certification_date": "2023-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "TRN14918",
"primary": false
},
{
"code": "207RH0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology",
"state": "IN",
"license": "01084644A",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "MO",
"license": "2015029477",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "IN",
"license": "01084644A",
"primary": false
},
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "IN",
"license": "01084644A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1992016588",
"state": "MO"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rana.hawamdehmd.p36@direct.ahni.nextgenshare.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "1111 Ronald Reagan Pkwy Ste B-1500",
"city": "Avon",
"state": "IN",
"country_code": "US",
"postal_code": "461237085",
"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 Sep 6, 2023; 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.