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SERENA KORTEPETER BASKIN MD NPI 1083726293


NPI Information

NPI: 1083726293
Provider Name: SERENA KORTEPETER BASKIN, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Organization: COMMUNITY PHYSICIANS OF INDIANA INC

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 with 22 years of experience. 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 9/15/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine12862NEW HAMPSHIRENo
2207Q00000XFamily Medicine01067146AINDIANAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
101Y008991NH03OTHERNEW HAMPSHIREANTHEM ID - GRANTHAM
24147497OTHERMVP ID
301YP08991NH01OTHERNEW HAMPSHIREANTHEM ID - NLHP
4200966820MEDICAIDINDIANA
530205561MEDICAIDNEW HAMPSHIRE
6AA47227OTHERHARVARD PILGRIM ID
771029982OTHERNEW HAMPSHIRECIGNA ID

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.