Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1194888644 Individual Practitioner Male Practitioner

Dr. Nader Rezvan , MD

Specialist • Bloomington, IN

Professional Overview & Biography Verified Profile Summary

Dr. Nader Rezvan, MD is a registered healthcare professional specializing in Specialist in Bloomington, IN. Practice services are available at 601 W 2ND ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

601 W 2nd St

Bloomington, IN 474032317

Telephone 8664834804
Fax 3178700499
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Bloomington, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 32.2 Yrs
State Avg: 34.9 Yrs
Regional Practice Density
13 Specialists

Practicing in Bloomington, IN (456 Statewide)

Telehealth Adoption Rate
23.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License IN 01023405

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
100182840A (IN)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1013108216

Doctor of Medicine (M.D.)

Dr. John Hale , MD

Anesthesiology

NPI 1023099363

Doctor of Medicine (M.D.)

Dr. David Dunn , DO

Anesthesiology

NPI 1023335015

Doctor of Osteopathic Medicine (D.O.)

Dr. Barton Brown , MD

Emergency Medicine

NPI 1033319629

Doctor of Medicine (M.D.)

Timothy Johnson , PA

Physician Assistant

NPI 1033425145

Physician Assistant

Dr. Mark Reiger , MD

Emergency Medicine

NPI 1043220163

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 13, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location May 13, 2016

Registered at 601 W 2ND ST, BLOOMINGTON, IN 474032317 (Tel: 8664834804)

📍
Updated Business Mailing Address May 13, 2016

Registered at 2312 N DUNN ST, BLOOMINGTON, IN 474081327 (Tel: 8664834804)

👤
Provider Name / Credentials Updated May 13, 2016

Recorded as NADER REZVAN, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 13, 2016

Specialist (License #01023405 in IN)

🟢
Initial NPI Registration & Enumeration December 18, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1194888644
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 18, 2006
Last Update: May 13, 2016
Sole Proprietor: No

Mailing Address

2312 N Dunn St

Bloomington, IN 474081327

Phone: 8664834804

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.