DR. DESTINY J HAUSE MD
NPI 1043700685
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Q: What is Destiny Hause's NPI number?

The NPI number for Destiny Hause is 1043700685. It was assigned to this individual provider in the NPPES registry on May 17, 2018.

Q: What is Destiny Hause's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Destiny Hause was last updated on May 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 17, 2018PECOS Enrolled

1120 W MICHIGAN ST # CL642, INDIANAPOLIS, IN 46202(404) 822-4779 Get Directions Write a Review

NPPES record last updated: May 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Destiny J Hause Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DESTINY J HAUSE MD (NPI 1043700685) is an individual student in an organized health care education/training program in Indianapolis, Indiana and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043700685

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameDR. DESTINY J HAUSECredential: MD

Location Address1120 W MICHIGAN ST # CL642Indianapolis, IN 46202-5209

Mailing Address1447 W Fry St Apt 3Chicago, IL 60642-5431 · (404) 822-4779

Phone(404) 822-4779

Sole ProprietorNo

Enumeration DateMay 17, 2018

✔ NPI 1043700685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1120 W MICHIGAN ST # CL642, Indianapolis, IN 46202

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Destiny J Hause Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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