| Taki M Rida, MD | |
|
1700 W 10th St, Indianapolis, IN 46222-3802 | |
| (317) 636-4400 | |
| Not Available |
| Full Name | Taki M Rida |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 9 Years |
| Location | 1700 W 10th St, Indianapolis, Indiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760834147 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01089356A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Indiana University Health Bloomington Hospital | Bloomington, IN | Hospital |
| Ascension St Vincent Hospital | Indianapolis, IN | Hospital |
| Indiana University Health Arnett Hospital | Lafayette, IN | Hospital |
| Indiana University Health | Indianapolis, IN | Hospital |
| Franciscan Health Lafayette | Lafayette, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Theoria Medical | 5395098339 | 414 |
| Impact Physician Group Indiana Llc | 6608111026 | 19 |
| In Charge Medical Professionals, Llc | 9436474178 | 10 |
| Impact Physician Group, Montana, Llc | 8426489741 | 2 |
| Entity Name | In Charge Medical Professionals, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124426606 PECOS PAC ID: 9436474178 Enrollment ID: O20150220001634 |
| Entity Name | Impact Physician Group Indiana Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568930220 PECOS PAC ID: 6608111026 Enrollment ID: O20181212003675 |
| Entity Name | Theoria Medical |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609362375 PECOS PAC ID: 5395098339 Enrollment ID: O20211209000803 |
| Mailing Address | Practice Location Address |
|---|---|
| Taki M Rida, MD 1400 W Ice Lake Rd, Iron River, MI 49935-9526 Ph: (905) 875-4486 | Taki M Rida, MD 1700 W 10th St, Indianapolis, IN 46222-3802 Ph: (317) 636-4400 |
Leigha Marie Murphy, NP Family Medicine Medicare: Medicare Enrolled Practice Location: 8904 Bash St Ste B, Indianapolis, IN 46256 Phone: 317-735-6001 Fax: 855-450-1177 | |
Donald H Lauer, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1250 E County Line Rd, Suite 9, Indianapolis, IN 46227 Phone: 317-881-9797 Fax: 317-881-4156 | |
Robert Kiess Newton, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9560 E 59th St, Indianapolis, IN 46216 Phone: 317-621-1700 Fax: 317-621-1711 | |
Dr. Bernard M Herbst, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5839 E Washington St, Indianapolis, IN 46219 Phone: 317-353-9777 Fax: 317-357-6922 | |
Teresa Trierweiler, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4880 Century Plaza Rd, Suite 200, Indianapolis, IN 46254 Phone: 317-293-4113 Fax: 317-290-2542 | |
Dr. Phumeza Msikinya, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 8920 Southpointe Dr Ste B, Indianapolis, IN 46227 Phone: 317-497-1900 | |
Ruben Hernan Hernandez Mondragon, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1040 Wishard Blvd, Indianapolis, IN 46202 Phone: 317-962-8893 Fax: 317-962-2990 |