SERENA KORTEPETER BASKIN MD NPI 1083726293

NPI Information

NPI: 1083726293
Provider Name: SERENA KORTEPETER BASKIN, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
8177 CLEARVISTA PKWY
INDIANAPOLIS, IN
ZIP 46256
Phone: (317) 621-7801
Get Directions

Serena Kortepeter Baskin, MD is a family medicine in Indianapolis, IN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Serena Kortepeter Baskin, MD NPI is 1083726293. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8177 CLEARVISTA PKWY
INDIANAPOLIS, IN
ZIP 46256-662
Phone: (317) 621-7801
Fax: (317) 621-7205

The NPI 1083726293 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/1/2006 and was last updated on 11/27/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		12862	NEW HAMPSHIRE	No
2	207Q00000X	Family Medicine		01067146A	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	30205561	MEDICAID	NEW HAMPSHIRE
2	71029982	OTHER	NEW HAMPSHIRE	CIGNA ID
3	AA47227	OTHER		HARVARD PILGRIM ID
4	200966820	MEDICAID	INDIANA
5	01Y008991NH03	OTHER	NEW HAMPSHIRE	ANTHEM ID - GRANTHAM
6	4147497	OTHER		MVP ID
7	01YP08991NH01	OTHER	NEW HAMPSHIRE	ANTHEM ID - NLHP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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