HARI RASAD GOURABATHINI M.D
NPI 1184012130
Pediatrics - Pediatric Critical Care Medicine in South Bend, IN

Q: What is Hari Gourabathini's NPI number?

The NPI number for Hari Gourabathini is 1184012130. It was assigned to this individual provider in the NPPES registry on December 29, 2014.

Q: What is Hari Gourabathini's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Hari Gourabathini was last updated on August 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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 December 29, 2014PECOS Enrolled

615 N MICHIGAN ST 5TH FL, SOUTH BEND, IN 46601(574) 647-7275(574) 647-3696 Get Directions Write a Review

NPPES record last updated: August 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 11, 2025, Mar 30, 2021 (2 updates tracked since 2021).

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About Hari Rasad Gourabathini M.d NPPES

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

HARI RASAD GOURABATHINI M.D (NPI 1184012130) is an individual pediatric critical care medicine provider in South Bend, Indiana, licensed in Indiana (01074968A) and active in the NPI registry since December 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184012130

Entity TypeIndividualMale

Primary Taxonomy2080P0203X

Provider Legal NameHARI RASAD GOURABATHINICredential: M.D

Location Address615 N MICHIGAN ST 5TH FLSouth Bend, IN 46601-1033

Mailing Address710 N Niles AveSouth Bend, IN 46617-1924 · (574) 647-1610 · Fax (574) 237-6069

Phone(574) 647-7275

Fax(574) 647-3696

Sole ProprietorYes

Enumeration DateDecember 29, 2014

Last NPPES UpdateAugust 11, 20252 updates tracked since enumeration

NPPES CertifiedAugust 11, 2025

✔ NPI 1184012130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in IN · 01074968A

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

Also ListedPediatricsTaxonomy 208000000X · License 01074968A (IN)

615 N MICHIGAN ST 5TH FL, South Bend, IN 46601

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Other Identifiers 1

Medicaid300012715IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hari Rasad Gourabathini M.d 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 6

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

MS. LAUREN JEAN WHITE CPNP

Nurse Practitioner (Pediatrics)