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

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: November 08, 2026.

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

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 and maintains a secondary practice location in Fort Wayne.

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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Secondary Practice Location 1

Location 111115 Parkview Plaza DrFort Wayne, IN 46845-1701 · Phone (260) 266-5400 · Fax (260) 425-6745

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Hari Gourabathini reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Beacon Medical Group, Inc.
Same address
Pediatric Critical Care Medicine
615 N MICHIGAN ST 5TH FL
South Bend, IN 46601
  • Reassigned Medicare billing, Indiana enrollment
  • 734 clinicians in this Medicare group
NPI 1467408237 (574) 647-7275
Parkview Health System,inc
67 mi
Family Medicine
2003 STULTS RD STE 100
Huntington, IN 46750
  • Reassigned Medicare billing, Indiana enrollment
  • 1,752 clinicians in this Medicare group
NPI 1467779124 (260) 356-5424

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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)
615 N MICHIGAN ST 5TH FL
SOUTH BEND, IN 46601
St. Joseph County (574) 647-7426
BEACON MEDICAL GROUP, INC.
Pediatrics (Pediatric Critical Care Medicine)
615 N MICHIGAN ST 5TH FL
SOUTH BEND, IN 46601
St. Joseph County (574) 647-7275
PAUL N ZENKER MD
Pediatrics (Pediatric Emergency Medicine)
615 N MICHIGAN ST 5TH FL
SOUTH BEND, IN 46601
St. Joseph County (574) 647-7275
DR. MARY REGINA FEEKS LACOURSIERE DO
Pediatrics (Pediatric Critical Care Medicine)
615 N MICHIGAN ST 5TH FL
SOUTH BEND, IN 46601
St. Joseph County (574) 647-7275
DR. LINDSAY JO KRAMER MD
Pediatrics
615 N MICHIGAN ST 5TH FL
SOUTH BEND, IN 46601
St. Joseph County (574) 647-7426
CAROLYN ROLOFF MD
Hospitalist
615 N MICHIGAN ST 5TH FL
SOUTH BEND, IN 46601
St. Joseph County (574) 647-7275

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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.

Where is Hari Gourabathini located?

Hari Gourabathini practices at 615 N Michigan St 5th Fl, South Bend, IN 46601. The listed phone number is (574) 647-7275.

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.

Is Hari Gourabathini enrolled in Medicare?

Yes. Hari Gourabathini is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Hari Gourabathini's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hari Gourabathini reassigns Medicare benefits to 2 organizations: Beacon Medical Group, Inc. (South Bend, IN) and Parkview Health System,inc (Huntington, IN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Hari Gourabathini's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Hari Gourabathini accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield list Hari Gourabathini as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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 15 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.