Eric E Tibesar

MD | Pediatric Gastroenterology | Male

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Complete Profile:

Eric E Tibesar basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Gastroenterology
Provider Name :	Eric E Tibesar
Credential :	MD
Gender :	Male

Business Address:

Eric E Tibesar address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	8402 Harcourt Rd Ste 402 Indianapolis, IN, 46260-2053 United States
Phone Number :	317-338-9450

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1659527786
NPI Entity Type :	Individual
First Enrolment Date :	08 Aug, 2008
Last Updated On :	23 May, 2022

Medicare Participation:

Eric E Tibesar participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	5698820702
Medicare Enrollment ID :	I20140618000836
Primary Specialty :	Gastroenterology
Medical School :	University Of Iowa, Rj & L Carver College Of Medicine
Graduation Year :	2008
Accepts Medicare?	Yes. Eric E Tibesar accepts medicare insurance.

Group Practice Association:

Eric E Tibesar is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Eric E Tibesar is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
St Vincent Pediatric Subspecialties	1557313939	35	2001 W 86th St Indianapolis, IN - 462601902 Ph: 3173383617	Yes
St Vincent Pediatric Subspecialties	1557313939	35	8402 Harcourt Rd Indianapolis, IN - 462602053	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Eric E Tibesar are as mentioned. Primary taxonomy code for Eric E Tibesar, MD is 2080P0206X (Pediatrics Pediatric Gastroenterology).

Taxonomy Code	Speciality	Primary	License No.	State
208000000X	Pediatrics	No	01073701A	IN
208000000X	Pediatrics	No	D0074772	MD
2080P0206X	Pediatrics Pediatric Gastroenterology	Yes	01073701A	IN

Legacy Identifiers:

Other legacy medical identifiers of Eric E Tibesar such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
ENROLLED	MEDICAID	MN

Endpoints:

Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	8402 Harcourt Rd Ste 402 Indianapolis, IN, 46260-2053 United States

Business Location:

Patients can refer following map for directions to Eric E Tibesar practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.